Does anyone have BCBS of WNY..if so what is the approval process?

Anyone?

Sorry I have Oxford.

I have Community Blue. I had to list previous weight loss methods tried, loose 5% of my weight pre-op. It wasn't that difficult at all. Whichever Bariatric group you go to in WNY have an extensive process, but they are thorough and I think that's why the insurance approval goes smoothly. I, went to my 1st visit 4/9 and was sleeved 7/30.

I had Dr. Hoffman @ BGH. I forgot, had to get the psych eval, letters from treating physicians as to the necessity, and go on the phase 1 south beach diet. That's about it.

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There are hundreds of policies under bcbswny. Each differs according to the choices made by the employer. If you want good answers you need to actually call your ins company with card in hand or call your personnel office.

I have bcbs excellus...called them and hey sent me a WLS rider that outlined what was covered and not. If u get this, take it to dr office with you!!! I had to pull it out many times to prove they covered VSG as stand alone procedure (i met the criteria). BTW once approved they sent me a letter stating i was appv for Gastric Bypass (they sent this twice )! I panicked!! Again called them and was assured yes i was ok for vsg that was just a form letter.

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