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Bcbs Federal Insurance Requirements For Lap Band

I am terribly concerned about the documentation required by BCBC Federal regarding 2 years of documented morbid obesity. I do not have the documentation for the 2 years as I have just recently met the BMI required for the surgery. Does anybody have experience in the past with BCBC Federal in regards to this requirement? Are they strict with meeting all the requirements?

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  • Finally FEP has my paperwork for my approval. Got nothing from the cust serv dept except "it is in the approval board section" you know that room at the end of the dark LONG hallway, that has creepy c

  • I'm glad that they finally sent your paperwork in for approval. Call them every day ask. It only took them 3 business days to approve mine. I'm keeping my fingers crossed for you.

  • It will be fine -and usually fepblue approves within in 2 weeks.

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I'm glad that they finally sent your paperwork in for approval. Call them every day ask. It only took them 3 business days to approve mine.

I'm keeping my fingers crossed for you.

Grider, I am so glad that it has been received by BCBS. I would think that you might have an answer by Tuesday or Wed of next week. I imagine that they will be off for the holiday until Mon. They might work tomorrow but I doubt it. Keep me posted. I am rooting for you! Happy Thanksgiving. The next day I start my Protein shakes and one meal a day routine.

Melinda

It be nice it it were before but.. as long as it is on 2011 I'

ll be happy... Have a great Thanksgiving!! I am taying home, my one son going to her families and my other son in Miami told him to come Christmas as I was not cooking! so im cleaning closets. Once approved I'll start the gym and excersise stuff, and what ever the Dr will ahve me do... I am sooo ready

i have bcbs too. they approved me in less than 2 weeks. my surgery is dec 13th. my doc said i dont have to do the 2 week diet as long as i dont gain any weight in the next 2 weeks. (im 225 lbs!)he said if i could lose a few pounds that would be fine, but if not, that was ok too. Happy early Merry Christmas to me !!

Yeeyyy Pink !!! and you too Dulci,,WOW teeth_smile.gifthumbs_up.gif I do not know if they work Friday. Dulci, did you just talk to customer service? I talked to 3 people yesterday as two didnt even know what they were talking about. First one told me I was approved, then it was on hold, finallly got someone who said some paperwork was missing but they had contacted my surgeon and it was all ready to go, now being reviewed by the approval board,,, tounge_smile.gif I keep hearing you talk to care managemnt, the nurse etc, and nobody let me talk to anyonelse besides customer service. anyhow HAPPY THANKSGIVING everyone!!rose.gifheart.gif

  • Author

I go for my last weigh-in on Friday to complete the 3 month physician monitored diet. I saw my Lap Band dr on tuesday. A little concerned about not having the 3 year weight documentation and BMI required for 3 years. I am now looking for pics that show me looking as fat as possible. My surgery is scheduled for 20 December.

Pink- Have a very Merry Christmas!!! a new life!! put a BOW on your head LOL and smile...thumbs_up.gifpresent.gif

and Lulu it is 2 years weight loss details..,,, you have fepblue?

  • Author

Yes, I thought so too on the 2 yr weight loss detail. I think the biatric coordinator was in error on the number of years.

Hi everybody, tue nov 29 all is quiet, put y little tree up and making some soup. How ye be MelindaH?

  • 3 weeks later...
  • Author

DISAPPROVED by BCBS. The paperwork was in their office for 11 working days before a decision was made on the denial. I will submit additional documentation and appeal this decision.

Merry Christmas to All

  • 5 months later...

How did you all cover the 1 year attempt at weight loss requirement?

"Evidence that attempts at weight loss in the 1 year

period prior to surgery have been ineffective"

I have been on/off WW since 2008, started going to the Gym in March/Personal Trainer.

nacol your

pcp can provide that info i brought an elliptical worked out lbs were not coming off she asked what kinda work our rotuine i followed i told her what i did she documented it.

Any gym paper work discussuions with your personal Dr about weight- anything you show for excersize, machines etc. be like an atty trying to prove a case.

Thanks for the info! I had my first nutrition consultation and completed the physical in one day. Just 3 more nutrition counseling sessions and I am on my way...I hope!

It will be fine -and usually fepblue approves within in 2 weeks.

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