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BCBS of AL (Lowes)

Chellennunley

By Chellennunley, in Insurance & Financing

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Chellennunley    62

Chellennunley
Posted

My paperwork was suppose to be submitted Monday. The patient coordinator said she was going to actually mail it because of issues in the past with faxing. I'm going to call BC Monday to see if its been received. I followed there guidelines to the letter, so hopefully I will get a fast approval! Anyone else have experience with them?

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TexasT    99

TexasT
Posted

I have BCBS of AL (the home office of my company is in AL, though I'm in TX), and they never paid a dime for either of my surgeries. Guess you have a better plan than mine. Good luck with it!

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KristyM    44

KristyM
Posted

Yes, I have BCBS of AL and they paid 100% for my surgery!! I followed their pre-op 6 month plan to the letter, as they asked (Weight Watchers once a week, Doctor's appt once a month for seven visits, provided 3-5 years worth of weights from previous year's doctor's visits), and I was approved on the same day my doctor's office submitted my paperwork. Of course, my BMI was over 40, and BCBS of AL will pay for the surgery without co-morbid conditions if your BMI is over 40. If your BMI is 35-40, you must have 2 co-morbid conditions (diabetes, sleep apnea, high blood pressure, etc). If you have done exactly what they have asked and you meet the BMI and co-morbid conditions, then you should be approved. Please let me know when you get approved and BEST WISHES!!! This will be the absolute best thing you will ever do for yourself!!! Don't give up and if for some odd reason they don't approve you, keep trying and resubmit with an appeal letter.

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Chellennunley    62

Chellennunley
Posted

Wow! 100% would be awesome! I have to pay my out of pocket max, which is 4k. But due to all the preop stuff so far, its down to 2900. I followed Weight watchers and had monthly dr visits. They only required 3 during the 6 months if WW, but I wanted to leave no stone unturned!

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hunny79    72

hunny79
Posted

I have IDX blue of PA and was told inpatient is covered 100% as well i almost peed my pants !!!!!!!

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Go To Topic Listing Insurance & Financing

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