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Anthem of CA - NEW GUIDELINES!!



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As of 11/18/10 Anthem BCBS of CA changed thier policy. VSG is is no longer listed as experimental =)

If you want to take a look its http://www.anthem.com/ca/medicalpolicies/policies/mp_pw_a053317.htm

(The full Anthem policies are http://www.anthem.com/wps/portal/ca/footer?content_path=provider/f0/s0/t0/pw_a112249.htm&label=Medical%20Policies&rootLevel=4)

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WOOT! I heard it was on the approved list, but I love seeing it in writing! Thanks a bunch for posting!

Your welcome!! I got approved on 12/3, after I had gone thru the appeals ... but its good to know that others don't have to now =)

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Your welcome!! I got approved on 12/3, after I had gone thru the appeals ... but its good to know that others don't have to now =)

I have a question, first off CONGRATS on the approval!!!! My work is changing to

Anthem Blue Cross starting 1/1/2011 and I have been going through this

process with Aetna. I know that Aetna requires you to do a 3 month multi

diciplinary diet before being considered for approval, does Blue Cross

require you to do anyhting pre- surgery? Any information that you can give

me will be appreciated. Good luck on your journey!

-Mariela

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I have a question, first off CONGRATS on the approval!!!! My work is changing to

Anthem Blue Cross starting 1/1/2011 and I have been going through this

process with Aetna. I know that Aetna requires you to do a 3 month multi

diciplinary diet before being considered for approval, does Blue Cross

require you to do anyhting pre- surgery? Any information that you can give

me will be appreciated. Good luck on your journey!

-Mariela

Anthem BC of CA PPO did not require a disciplined diet. Just a history of weight loss attempts conveyed to your surgeon. For example I've tried HCG injections, Accupuncture, Hypnosis, Slimfast, Medifast, Weight Watchers, and 3 times on my own, all in all, 5 times I've lost 100 or more pounds only to gain it back plus more. That was satisfactory enough for a weight history. I did not have to prove it, but who in their right mind make up a history like that.

Best of luck, you'll get approved. Your surgeon will help you to get your approval.

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