BCBS Federal denied pre approval

kooterpooters · September 23, 2010

Just dont give up everybody.I know here in wv..Federal bcbs just started approving about a month ago,so hopefully most others are too.Appeal and do what you can or maybe it may be really soon your company will start approving.I think these insurance companies are starting to realize all the complications with the lap-band and bypass etc are costing them way more money than if they just would start approving the sleeve.SO keeping fingers crossed and saying prayers for all who need this surgery that the insurances keep on approving..

shaneise · November 27, 2010

I HAVE BSBC AND WAS JUST DENIED FOR THE SLEEVE AND APPROVED FOR THE GASTRIC BYPASS. I AM REALLY UNCONFORTABLE WITH HAVING THING MOVED AROUND. I WOULD REALLY LIKE TO GET THE SLEEVE DONE. I AM GOING TO APPEAL BUT DOES ANYONE KNOW HOW. AND IF YOU HAVE COPIES OF APPEALS LETTER CAN YOU SEND THEM TO ME AS A REFERENCE. THANKS SHANEISE@MSN.COM

sharon2u · January 3, 2011

I am fuming! I did all my research prior to my testing and was told as long as it was medically necessary, they would approve the sleeve. Now I am being told it�s too new and considered investigative. I know other regions for BCBS Federal have covered the sleeve. I�ve talk to people on 2 different supports group, but I not necessarily in my state. I left a message with a rep to discuss but don�t know how far I will get. They will approve the bypass. I understand most sleeves are self pay, but I just think this is ridiculous!:cursing:

Hello, after reading your comments I felt that I wanted to add one for you. I too have BC/BS Federal (Texas). I was told by my Dr. that the Insurance provider covers the gastric Sleeve and the Roux-n-y bypass. I thought I would let you know. Also I need a revision from the Band to the Bypass due to band problems. My Dr. told me I could ahve either surgical procedure for it is up to me. However he did tell me the pro and cons of both types of surgerys and what he discussed with me was true facts because as always I do my own research. I am just trying to find out if I have to go through all the same thing as to testing, etc or not. If anyone knows or had a revision please let me know for i would appreciate it. I was always told that the federal Health Plan approves more than anyother plan did or does.

Sharon