Wellmark/BC BS in Iowa

[KabinKitty 10]

[You also have policies that differ between employer's. The insurance company may cover a procedure, but your employer may "opt out" of WLS coverage.]

WLS is included in my policy. I even asked about Vertical Sleeve Gastrectomy. They read and reread the different procedures that were included and they told me they have listed "Sleeve Gastrectomy" as one of the options. I even gave them the code provided by my surgeon's office for VSG and they confirmed that the surgery corresponding to that code is included.

How would I go about checking into Anthem BC/BS (Blue Acess) in Ohio, to see if they are paying for VSG surgeries? :thumbup:

[Morgandobes 0]

You need to get a copy of your policy and look it over.

In my Anthem Policy thru my employer it specifically states that the VSG is investigational.

When I go through the federal b/c b/s it does not specifically state it.

Get a copy of your policy and read the section on bariatric surgery well.

Lisa

[Morgandobes 0]

Yay!!!

Federal Blue Cross Blue Sheild for Colorado approved me for the sleeve!!!

Yippee!! Just got off the phone for them, and checked twice that it was for the sleeve,

and not the bypass. Even got an Auth#

I am so excited!

Now I have to wait for the docs office to give me a new surgery

date.

Whew, all this talk, I thought I wasnt going to get it approved.

Even the pre-cert nurse that I briefly chatted with last week didnt think it would

go thru.

Lisa