Empire Bcbs And Weight Loss History??? Help Anyone Even If U Dont Have Bcbs

[kr8160311 36]

My paper work will be ready to go on Feb 10th! My last consult is Feb 9th in the drs office and they told me they will send it out on the 10th. I have a BMI of 42.1 I have my phy test, My letter of medical necessity, all my meeting I needed etc. The only thing I don't have is proof of weight history.

I never been to a pcp until this year. Looking at Empire BCBS requirements I don't see that I need this but i'm still stressing can someone with this INS please tell me if you needed it and or can someone look at there policy ( attached) and tell me your reading the same as me and I don't need it?? I do have WW but no weights just proof I pay monthly since 2007!

Thanks so much ladies..

http://www.empireblu..._pw_a053317.htm

[Brown Kameleon 15]

Although all insurances are different, here is my story. I have BCBS- Anthem and all I had to fill out was a history for my doctor. They submitted to insurance and I did not need proof. My history account wasn't even completely accurate because I did it bt memory so it was vague. I gave them everything from LA weightloss to Jenny Craig to Weightwatchers to Atkins with approximate years and results. You should be fine.

[NWgirl 574]

Although all insurances are different, here is my story. I have BCBS- Anthem and all I had to fill out was a history for my doctor. They submitted to insurance and I did not need proof. My history account wasn't even completely accurate because I did it bt memory so it was vague. I gave them everything from LA weightloss to Jenny Craig to Weightwatchers to Atkins with approximate years and results. You should be fine.

I will probably be submitted next week after surgeon consult and also have anthem bcbs. I also only need to submit a history of the programs I've tried. When you submitted to anthem, did you only do name of program and year(s) on it? My case manger with anthem said that was all they needed, but it seems too simple!

[zinhaa 363]

I have empire BCBS. I was told i needed a history. I was also told i needed to keep a log.

The log i made up best i could. My regular doc verified i was trying to lose weight in a letter. He said it was ok because we discussed it at each yearly visit and i went to a nutritionist for a while. Find out if dr will work with you.

wendy

[Brown Kameleon 15]

If you have acess to a fax machine, I can send you what was submitted. Again all insurances are different but the from asked for name of program(which was already pre-typed), the year, weightloss, weight regained, length of program and if my primary doc knew.

My doc knew about most of them because every time I saw her I was on some type of plan and would mention them. However I did not hkave any documentation from any of the programs. And I've never met a doc who didn't support the band because of the health benefits it can potentially foster.

[zinhaa 363]

i dont have a fax machine but you can email me

Zinhaa@optonline.net.

I did jenny craig ww etc i listed them but didn't have documentation from them and they didnt ask for it. What state are you from I am from ny

wendy

[Brown Kameleon 15]

If I can get it to scan a look readable then I will send by tomorrow but no guarantees as my scanner is not of great quality.

[Brown Kameleon 15]

Sorry... I am from DE

[zinhaa 363]

good luck.

I think they are just looking for the list and verification from your dr

wendy

[kr8160311 36]

My dr did write in my letter of necessity that I have tried weight loss programs and have failed. thanks ladies!!

[vingotti33 14]

I have this same insurance, I provided those docs. I am not sure if they are required or not. I would think your surgeons insurance specialist will know how to get things through. You could get the weight lose log together for the months provided. I am sure they can submit those. Ask your surgeons insurance specialist, they will know.

[PWoo10 7]

Might want to check because BCBS isn't suppose to require weight loss attempts anymore. However have you been getting annual physicals from your primary physician? If so those weights can show your have been overweight for years. I have BCBS-IL so my requirements could be same/different but you can never have to much information for insurance.

[mizpk83 9]

I have BCBS of Texas and I didnt need any weight loss history. You might want to give your insurance company a called they had a policy change of 2/1/12 at first I had to have 6 weight loss visit as a result from the change I dont need them. Good Luck.

[kr8160311 36]

My drs office called them today to tell them she was sending over my file and they asked her a few questions over the phone and APPROVED in minutes over the phone!!! Even the secretary kept saying are you sure??? I had to call them to double check I was denial it was so fast and YES , its approved!! I can't believe it!! I'm on cloud 9! Thanks everyone for your support! March 6th is my date!!

[mizpk83 9]

Great..... what an outstanding outcome!!!