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Blue Shield Of California Ppo

Hi,

I have a bmi 37 and my doctor just diagnosed me with mild sleep apnea. Does this help my chances of getting approved? I also have one kidney (donor) & had gestational diabetes with my last baby.

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Hi helleva, I am in the same situation that you are in, my Bmi is 38 and I am now being tested for sleep apena and I now have high blood pressure. It's up and down. I have anthem blue cross and blue shield. Ppo and I have done everything else I am just waiting on my sleep study results. Good luck and keep me posted... It will work out for you????

  • Author

Hi thenewlife76 :)

Thanks for replying. I think we should be approved with sleep apnea alone. I went 2 weeks ago for the sleep study. I didn't think I had it because I'm not a snorer but, low and be hold I tested with a mild case. I really want this procedure just like I'm sure you do. I hope our insurance approves us both so, we can start our new lives <3 hey, did they require you to do a 6 months of supervised nutrition class?

I have Blue Shield Ca also. My bmi was 37 and I was diagnosed with mild sleep apnea. The insurance approved me within 3 days. I was also not required to attend the 6 month nutrition classes.

Good luck!

Hi helleva, it didn't require me to do a 6 month class and I to had diabetes when I had my daughter. He wants to put it threw now. I would like to wait for my sleep study results. How long did it take you to u to get your results ??

  • Author

Hi thenewlife76,

I'm thinking my surgeon sent me to the sleep study to improve my chances. I went on Friday April 27th. The preliminary report was sent to the surgeon May 5th. I found out yesterday May 8th that I have a mild case of Sleep Apnea. I go back this Saturday May 12th for the CPAP. So the process was not long at all. I hope this helps :)

My coordinator told me I need 6 months of a consecutive supervised diet?! I have the past year on record but it was not every month. It was every 2-3 months. This is what worries me about getting approved te first time around :/

  • Author

Hi thenewlife76,

I'm thinking my surgeon sent me to the sleep study to improve my chances. I went on Friday April 27th. The preliminary report was sent to the surgeon May 5th. I found out yesterday May 8th that I have a mild case of Sleep Apnea. I go back this Saturday May 12th for the CPAP. So the process was not long at all. I hope this helps :)

My coordinator told me I need 6 months of a consecutive supervised diet?! I have the past year on record but it was not every month. It was every 2-3 months. This is what worries me about getting approved te first time around :/

There seems to be a lag with insurance coordinators knowing that BCBS no longer requires the 6 month wait on a good number of plans. Mine still thinks it even though I went through my insurance documents line by line and it says I no longer need it. :(

Anyway, good luck to you! :-)

  • Author

Thanks BKmama :)

Do you have bcbs of California? If not upon reading upon different groups was bcbs Of CA on the list of discontinuing the 6 month requirement?

I was going to ask if anyone had BCBS of Cali abd how long did a take for the insurance to approve? I didn't have to have 6 months of nutritionist studies. I guess I am just anxious as I'm sure many of us are. My mother is suppose to flight out to be with me two weeks after surgery and we are just ready to get it over with.

  • Author

Hi tracy,

I have Blue Shield of California ppo. My paper work was submitted today. My coordinator told me it should take any where from 7-10 days. I will let you know as soon as I get word :) is your paper work submitted yet?

Please wish me luck! :)

Thanks,

Denise

We are in the same boat. I just called and she will be sending my paper work off tomorrow or Wednesday. She said she was already scheduling June and July appointments. I hope I can get in for July, June would be better but I will take July. I wish you the best... :D

  • Author

Trcy,

I just want to get the approval and get this over as quickly as possible. I'm ready!! Good luck to you :) I pray we both get the answers we are looking for in a timely manner <3

Denise

Hi...I have bcbs anthem cali...bmi of 35, high blood pressure and gest diabetes. I'm 5'4 and 204, got approved within 24hrs

So do I Denise.... I have some things that I need to get under my belt and I need this out of the way so I can get adjusted. KiKi my bmi is 39 and I have diabetes and high blood pressure. I'm 5'6 and weight 250. I hope mind come back soon. I have picked up 25 lbs in the last six months after losing close to 30 lbs. I just want to get the weight off and keep it off. Hope to get off the meds. The insurance paid for everything and approved right away, except for the psychologist I paid for out of pocket. I was mainly waiting for appointments. So KiKi do you have a date yet?

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