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Anthem Bmi Of 38?



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Hello,

I have anthem ins. and bmi of 38 with sleep apnea. I am on my 8th day of waiting for approval. I can hardly stand it! Does anyone know if anthem is the same as bcbs? When I call anthem they are in Georgia does that mean I have anthem of Georgia even though I live in another state?

Just wanted to see if anyone has a similiar situation. Thanks!

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You have whatever Anthem insurance is printed on your subscriber ID card. If you're confused about it, just call them and ask. It doesn't really matter where they're located as long as you have coverage with providers in your area.

I live in TN and have Anthem BC/BS of CT because my husband is retired from the state of CT. Providers submit claims for our medical care through BC/BS of TN, who then recover the money from Anthem BC/BS of CT.

Your WLS coverage and approval will depend on the terms of your particular policy. Anthem could have 1000 different policies for 1000 different organizations or individuals (probably more!).

Anthem took 2 weeks to deny my band surgery and another 2 weeks to approve it after I appealed it. My BMI was 39.9 and I had several co-morbidities.

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Why did they deny it at first and what did you do to get them to approve it? thanks

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They denied it because they said my co-morbidities weren't bad enough to make the surgery a "medical necessity". In my appeal, I told them how much they'd have to pay to treat my co-morbidities (high cholesterol, sleep apnea, etc.) until I'm of Medicare age. I guess that convinced them!

But that was back in 2007. Anthem seems to have loosened up a bit about WLS since then.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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