I'm doing my weight management classes right now so I'm wondering how long is it going to take after I'm done with my classes to get set up. Anyone been trough this with bsbc Michigan?? Thanks!

Hi there, I have bcbs of Mi too. Ther required six months dr. supervised diet, plus my surgeon had a few of his own. I could of had my surgery as soon as the six months were finished. Good luck - hope all oes well.

Normally when your BMI is over 50 you don't have to do the supervised diet. It depends on how fast you want to do it and when the DR is avaible. They could do it within two weeks of your diet.

Hi Ladies. I also have BCBS of MI because my BMI was over 50 I was approved the same day as my submittal.

I also have BCBS Michigan and was told that because my BMI is over 50 that it basically waives the 6 month supervised weight loss program requirement. She didn't mention whether or not it waived the other pre-requisites for surgery (psych eval, etc). But said that basically after the submittal it wouldn't be very long at all for the approval, and then any day after that I could have the surgery. But seeing as I only just today went to the seminar and yesterday my PCP sent over my referral to the surgeon, I think I still have awhile until my submittal for approval would be ready to send it!

I have Blue Cross of MI and I had to do the 6 month diet. I am also a low BMI and was approved first time submitted.

Hi kellysouthpaw. I was required to complete a psych eval.

Had to do 6 months documented weight loss visits with forms filled out by doc, psych evaluation and attend a orientation. I was 39 BMI with apnea, high blood pressure and pre-diabetes.

I was just sleeved 5/6, and BCBS was wonderful. I'd suggest contacting them directly and ask for the requirements for your plan. Your surgeon's office should also be able to help you out with it. I was required to have 6 months of supervised diet as well, however my surgeon's office pointed out that BCBS will now accept Online Weight Watchers!! I had done it for over a year, and printed out my weekly weights, as well as the page that shows I paid all that time. My policy didn't give preapprovals, so it was up to the surgeon's office to make sure I met requirements before surgery. After surgery, they submitted everything for payment. They paid every penny! (I had already met my deductible) $32,000 paid without an issue.

I was just sleeved 5/6, and BCBS was wonderful. I'd suggest contacting them directly and ask for the requirements for your plan. Your surgeon's office should also be able to help you out with it. I was required to have 6 months of supervised diet as well, however my surgeon's office pointed out that BCBS will now accept Online Weight Watchers!! I had done it for over a year, and printed out my weekly weights, as well as the page that shows I paid all that time. My policy didn't give preapprovals, so it was up to the surgeon's office to make sure I met requirements before surgery. After surgery, they submitted everything for payment. They paid every penny! (I had already met my deductible) $32,000 paid without an issue.

hi... im in the process of getting insurance through my work, they use blue cross blue shield, and am kinda curious what the process is. im new to all of this. if approved through them, how does their deductible work? what will i have to pay out of pocket? if you happen to know.

hi... im in the process of getting insurance through my work' date=' they use blue cross blue shield, and am kinda curious what the process is. im new to all of this. if approved through them, how does their deductible work? what will i have to pay out of pocket? if you happen to know.[/quote']

Every policy is different. This is how the deductable works: I have a $1250 deductable. My policy covers nothing until I meet that, and then it pays 100%. (Mine renews Jan 1) If I go to the doctor and have tests run that cost $1500, I will be billed 1250, and bcbs will pay the rest. Some policies also have coinsurance. If I had an addtl 1000 coinsurance, I would have to pay 2250 out of pocket before bcbs pays the rest. Again, every policy is so hugely different! I would get your paperwork from work that explains it, and then call bcbs. They can explain specifics for your policy. They can also tell you if bariatric surgery is a covered benefit. (Its specifically listed as covered on mine) I hope that helps you. When you get your paperwork I can try to help translate if you would like!

Every policy is different. This is how the deductable works: I have a $1250 deductable. My policy covers nothing until I meet that, and then it pays 100%. (Mine renews Jan 1) If I go to the doctor and have tests run that cost $1500, I will be billed 1250, and bcbs will pay the rest. Some policies also have coinsurance. If I had an addtl 1000 coinsurance, I would have to pay 2250 out of pocket before bcbs pays the rest. Again, every policy is so hugely different! I would get your paperwork from work that explains it, and then call bcbs. They can explain specifics for your policy. They can also tell you if bariatric surgery is a covered benefit. (Its specifically listed as covered on mine) I hope that helps you. When you get your paperwork I can try to help translate if you would like!

it definitely helped. thank you. im pretty sure it covers the surgery. now i just gotta figure out how long i have to wait to get it. i was told that i have to wait a year after signing up with them before theyll pay for it. not sure why. maybe cause its so expensive and they wanna make sure im gonna stick around awhile first. lol idk.

I just switched my insurance at work Jan 1! I switched blue care network to bcbs. I even asked to make sure it was covered before I did!! Haha, I have just now been on their plan 6months.

<p>I have BCBS of MI PPO, have to do the 6 month NUT visits, the Psych visit also. Did WW awhile ago however lost my info so I sent them an email hoping they can send me verification (not sure if this happens if it will speed up the process?), but looking forward to the new ME!!</p>

<p>Hoping that the insurance doesn't give me any troubles? BMI= 40.6</p>

Thank you all for your comments. I still need two more weight management classes and my blood work and I'm on my way after that =).

I asked this question in another forum sorry if your reading it again. I finished all the requirements it took me six months. Today I called my doctors office asking for the status on my insurance ( that's sugar we were waiting for it was submitted last week) and they told me I was approved for the hospital stay but it's still pending for the sleeve, for the surgery. This has really freaked me out I'm wondering if there going to deny me now. She said once they know something they will call me back. Im tempted to call Tuesday (haha) to see if they heard anything. I'm so nervous that I'm going to be denied now. Has anyone gone through this?