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BCBS PPO, anyone?

I have all my ducks in a row to schedule a surgery date except insurance approval. They will be submitting next week. Has anyone gone through Blue Cross Blue Shield of Tennessee? I made a call myself and they told me that they cover weight loss surgery if it is deemed medically necessary. The woman I spoke to said they had no information regarding specific surgeries. I'm usually pretty patient but now that I've jumped through all the hoops, I'm getting antsy. I so appreciate all the people who post and ask questions here. I look forward to being as helpful to others after I'm sleeved!

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You can call them or look online with the code 43775 (VSG) to see if they cover the sleeve. I have BCBS IL PPO and they just updated their info JUly 1st to cover the sleeve. I have heard a lot of the BCBS are now starting to cover, and if they dont they usually cover once you appeal it....think it just depends on when they update their policy. did you find out the requirements for the medically necsarry clause...BCBS IL requires a 3 month diet documentation and some require 6.

I have BCBS North Dakota PPO as well, even though I live in Oregon. I was denied the first time, but approved on first appeal. Good luck. If you get denied the first time, don't give up.

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