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ANTHEM BLUE CROSS ?

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  • janie2024
    janie2024

    Mne is anthem out of Ca, I only have to do 1 month supervised no date yet but I have been approved. My Dr has been sick so surgeries are running behind....but should probably have sometime in Aug and

  • I'm trying to find a doctor that accepts Anthem. I'm from Indiana but would travel! All the place here have a policy of 3-6 months or longer! No doctors will just take my insurance and do it! There ar

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Nice :))

Do you have a date hun :))

First appointment is next week. Super excited. Good luck at your seminar!

Anthem BCBS California here too. No six month diet, just psych eval, nut visit and clearance from PCP. First consult was 5-23. Received ins approval and signed consents already just waiting on scheduling department which should be any day now. SUPER EXCITED!! Hope to be done before 8/12 when my kids return to school.

This may be a silly question, but I tried to contact Anthem ahead of time to find out exactly what their prerequisites are for the surgery, and they wouldn't give me any information except for the basic 'medical necessity' blah blah blah. I explained in my question that I already understood the medical necessity part and that I more than qualified for that, I was just wanting to know what they require as far as the other items, and no answer.

I am hoping to fast track this and get it done this year, but will the surgeon's office already know what Anthem requires...meaning, they won't make me go through a 6 month diet if it isn't required by Anthem would they? Since I couldn't get the answer ahead of time through Anthem, I was hoping that you all might be able to shed a little light on that for me.

Thank you in advance for your help!

I'm also from Indiana like cdunn. I am required to have six months consecutive doctor supervised weight loss plan. I also will have psych evaluation, several visits with a doctor, six visits with the nutritionist, lab work, behavior meetings, etc.

Although I do wish my surgery was sooner, I need these meetings to prepare me how to handle "head hunger" and emotional eating after surgery.

Google-- Surg 00024 and it will pull up Anthem's official page explaining what their definitely of being clinically obesity is and what it takes to qualify for medical intervention. It should have all the information you need at least to start. Hope this helps.

Thank you so much for your info. I actually have seen this document several times (as that is what they send me when I ask specifically about the pre-requisites). They don't seem defined here. Again, I understand the qualifications for medical necessity, and meet those, and am hoping to find out about like the 6 month diet prior to surgery...many people have not had that requirement through Anthem, so I am curious what dictates those pre surgery 'hoops' if you will. Perhaps it is more surgeon/clinic defined...I'm sure I will get all of the information at my appointment, but just wondered if anyone had insight as well. Seems like all insurance plans are different for sure.

Thanks again so much! I appreciate it. :)

  • Author

First appointment is next week. Super excited. Good luck at your seminar!

Hey :))

Good morning babes :))

Thank you !!!

How is everything on your end ?

Love from California

  • Author
Google-- Surg 00024 and it will pull up Anthem's official page explaining what their definitely of being clinically obesity is and what it takes to qualify for medical intervention. It should have all the information you need at least to start. Hope this helps.

Woooooooow

Thank you doll

____________________

I always see it ..... Never click on it . sad face Lol

I will read now thanks :))

Going to The Seminar now !!!!!

How did the seminar go for you?

  • Author

Thank you so much for your info. I actually have seen this document several times (as that is what they send me when I ask specifically about the pre-requisites). They don't seem defined here. Again' date=' I understand the qualifications for medical necessity, and meet those, and am hoping to find out about like the 6 month diet prior to surgery...many people have not had that requirement through Anthem, so I am curious what dictates those pre surgery 'hoops' if you will. Perhaps it is more surgeon/clinic defined...I'm sure I will get all of the information at my appointment, but just wondered if anyone had insight as well. Seems like all insurance plans are different for sure.

Thanks again so much! I appreciate it. :)[/quote']

hey honey !!!!!!!

WE ARE ON THE SAME BOAT

I FEEL THE EXACT SAME WAY .

WHAT DAY IS YOUR DOCTORS (PMP) APPOINTMENT ??????

Mine is on JULY 31.

If then I will get 100% info

I need my 10% to be complete !!!!

Lmaoooo

:))

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