Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Sorry, one more BCBS of IL ? regarding weight watchers

shawna_s

By shawna_s, in Insurance & Financing

Recommended Posts

shawna_s    8

shawna_s
Posted

Does anyone know if being apart of WW for 6 months counts as part of your 6 month dietary plan and exercise?

Share this post

Link to post
Share on other sites

Cindy C    150

Cindy C
Posted

It should. It did for BCBS of MI.

Share this post

Link to post
Share on other sites

KayleighsMommy    16

KayleighsMommy
Posted

Does anyone know if being apart of WW for 6 months counts as part of your 6 month dietary plan and exercise?

I was told that it did not. Of course, I was also told a sleep study was a cosmetic procedure :blink: . And they wonder why people HATE insurance companies.........

Best of luck with your BC/BS IL fight.

Share this post

Link to post
Share on other sites

shawna_s    8

shawna_s
Posted

I was told that it did not. Of course, I was also told a sleep study was a cosmetic procedure :blink: . And they wonder why people HATE insurance companies.........

Best of luck with your BC/BS IL fight.

seriously!? so they won't cover a procedure you need done to prove you have sleep apnea, which is of course "shoe in" for the lap-band. What jerks!

Share this post

Link to post
Share on other sites

KayleighsMommy    16

KayleighsMommy
Posted

seriously!? so they won't cover a procedure you need done to prove you have sleep apnea, which is of course "shoe in" for the lap-band. What jerks!

Actually, they said they would pay for it. IF I was positive for apnea. How screwed up is that??????

Share this post

Link to post
Share on other sites

loretta\ Baconton Georgia    10

loretta\ Baconton Georgia
Posted

I have BSBSI and they paid for my sleep study. How are you suppose to know until you go to have it done. DUhh.

Share this post

Link to post
Share on other sites

kewlshort1    4

kewlshort1
Posted

I have Humana, not BCBS, but my policy specifically excluded Weight Watchers (and some other similar programs) because they were not "physician-directed". I would guess you would have to verify it with your specific plan to make sure they don't have a similar wording.

Share this post

Link to post
Share on other sites

Beachbunny    5

Beachbunny
Posted

BCBS was awesome for me!! i gave them a 3 page typed history of all my weight loss atempts over the course of my life . and made copies of my weight loss attempts at Drs offices as well. I was approved within 2 days of sending them my info.

Share this post

Link to post
Share on other sites

KayleighsMommy    16

KayleighsMommy
Posted

BCBS was awesome for me!! i gave them a 3 page typed history of all my weight loss atempts over the course of my life . and made copies of my weight loss attempts at Drs offices as well. I was approved within 2 days of sending them my info.

Good for you, and congrats!!! I am always so happy to see someone who gets approved without half killing themself jumping through hoops. What state is your BC through?

I had issues with 2 different states. MI years ago... I wrote letters, got doctor documentation, sent pictures of me from the age I was 6, even went downtown for a personal meeting, and still they said no. Then IL... and they might have paid, if I did everything they wanted. Even though I desperatly needed surgery right away for an incarcerated hernia, they wouldn"t pay to have both surgeries done at the sam e time. Stupid, huh? Why allow the patient to have the surgeries done at ine time? Why not pay for 2 sesperate procedures and force the patient to go under the knife (and through general anesthesia) twice?

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×