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Blue Care Network Mi

Has anyone used BCN MI? What was your approval process like? How long did it take?

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I think most MI based insurance programs have a 6 month process. I had to meet with a doc once a month, the nut,exercise, and behaviorist one time. The insurance companies changed their policies on June 1st this year...call and check with them (ask you docs office for the surgery codes before you call)

Sleeved 10\23\12 by Dr. James Foote, Grand Health Partners

  • 2 months later...

I'm just getting started with BCNMi and this process. I went to my dr yesterday, my bmi is at like 36-37, but I've had some other health issues that she feels are related (back pain/migraines) and she's thinking that will be enough to qualify me. I'm not sure if the requirements for lap band are different than the requirements for the sleeve or not, I have a seminar I'm going to through my potential surgeon on 1/15, so hopefully I'll have more info then, and I'll be happy to share- whereabouts in Michigan are you located? I'm downriver, and going through Henry Ford Wyandotte at this time...apparently my doc likes them b/c they do all the legwork and arrangements for everything you need to get your insurance approved. They have the dietician on staff, they can do the psych eval there, etc- so I'm hoping going to a place that can walk me through it step by step will help with the approval process :) fingers crossed.

I have BCBS of Michigan. My BMI was high enough (sadly) that I didn't need to have 6 months of documented weight loss instruction/attempts. I called them and they sent me a letter about the rules. From the first seminar I went to till day of surgery was about 2 1/2 months. It took that long to get all my preop visits, mammogram, pap test, and other pre-op testing done. I had my surgery in Toledo on December 19.

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