Anyone With Bcbs Fed?

[besquared1426 49]

The plan says a3-mo supervised diet is required. Has anyone been approved after only 3 months or did you have to do six?

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[BalGirl 4]

I have the BCBS Fed. I actually had the Standard plan and switched to Basic so I could have my surgery under Basic. So far I'm still waiting for the bill but it shouldn't be much. Oh and to answer your question, yes, I only had to do the 3 month supervised diet and was approved in 3-5 days from when my doctor's office submitted the paperwork. I also had to have a letter of medical necessity from my PCP (basically stating she recommended the surgery to me and stating that she feels I needed it in order to lose weight) and the psych evaluation. I also had one group nutrition class and a one on one nutrition class (not sure if those were my doc's requirements or the insurance requirements).

[besquared1426 49]

Wow. That's great to hear. I have std option. I would think my coverage is better. Yes or no?

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[BalGirl 4]

Look into it - I found it really weird b/c you pay twice as much for the standard option than the basic option so you would think that you'd have better/cheaper care. In reality that may not be true (at least that's how they explained it to me). Most people that I've talked to had to pay $150 copay with the basic plan and a little extra (couple hundred) for the hospital extras (medicine they administer, etc). With the standard plan, you're responsible for 15% of the surgery cost (I think). Basically, I was told it would be much cheaper for me to go to the basic plan. That's the reason I switched. There's been a lot of talk about this here and on other message boards. Do a search for it and see what you come up with. Good luck!! Like I said, I haven't gotten my bill yet, so I can't tell you exactly what I had to pay.

[besquared1426 49]

Thank for the quick responses. And good luck on your wl journey!

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[BalGirl 4]

No problem!! Good luck to you in your journey as well!!

[MiTurner247 34]

I also have FEP BCBS Standard option and I only had to do a three month diet. I don't know about the out of pocket costs though, I've wondered the same thing myself but haven't gotten any answers. Let me know if you find anything out.

[MiTurner247 34]

I got a final bill from the hospital for my surgery and it was $250.00. Now that does not include my doctors fees ($465.20) or anesthesia (?) but I was relieved.

[besquared1426 49]

I got a final bill from the hospital for my surgery and it was 250.00. Now that does not include my doctors fees (465.20) or anesthesia (?) but I was relieved.

That's great news! I assume you were close to your OOP maximum for it to be so low?

[TinaMari 75]

That's awesome. I have BCBS basic as well. How far along are you in the process? This is my second month. My doctor said once next month hits, the process (in regards to the insurance decision) will be super quick. I hope this helps!

[MiTurner247 34]

I have the standard option and I had my surgery on April 4th.

[besquared1426 49]

That's awesome. I have BCBS basic as well. How far along are you in the process? This is my second month. My doctor said once next month hits' date=' the process (in regards to the insurance decision) will be super quick. I hope this helps![/quote']

I just completed my second month of nut visits with one more to go in June. I assume I have to wait three full months -- to July before the doctor's office will submit to BCBS Is that what you were told? Or do they submit after three nut visits vice three months?

[TinaMari 75]

I just completed my second month of nut visits with one more to go in June. I assume I have to wait three full months -- to July before the doctor's office will submit to BCBS Is that what you were told? Or do they submit after three nut visits vice three months?

I was told as long as all of the other requirements have been fulfilled they submit the documentation directly after your third nutrition visit...

[MiTurner247 34]

I had to go to 4 nutrition appointments because the first one doesnt count toward the 3.

[missmeow 156]

How much was it on the standard? I did not sign up for basic because I did not see the surgeon on their list of doctors? ergh.