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Anthem Blue Cross Blue Shield BcBs Requirements Link

Hi All,

I work for Verizon Wireless, and have Anthem Blue Cross Blue Shield (BcBs). My initial consultation was 12/23/13, I was able to see all the specialist and get approval by 1/14/14. The paper work was submitted to my insurance on 1/23/14... I am bitting nails (not literally) waiting to hear back!!!! I am scheduled for RnY gastric bypass on 2/26/14. I am so anxious, nervous, and excited, but my initial worries are the insurance approval. Has anyone ran into problems with Anthem?? Help!!! LOL

Edited by Brian_Rodriguez

  • Replies 11
  • Views 10.6k
  • Created
  • Last Reply

Featured Replies

  • Author

I found this link if needed: I was approved only after eight days!!!

http://obesitycoverage.com/anthem-bcbs-requirements-for-weight-loss-surgery/

Edited by Brian_Rodriguez

I also have BCBS but as a state employee under CovaCare and Anthem BCBS required me to do a 12 month waiting period. Once I completed that, it only took 7 days for approval.

How do I go about getting my PCPs letter. Anything special? Or just ask? I have documentation of my WW participation in the past. Do I need to rejoin?

  • Author

My surgeons office took care of it. My surgeon ordered blood work. I took that to my primary doctors office... Told him I needed clearance and he ordered additional blood work. I took both blood orders/prescriptions and went to a lab. Two days later I went back to my primary doctors. He gave me the results and said he would fax a letter over. I would stay in contact with your surgeons office they will be a lot of help.

Thank you!

  • 2 weeks later...

I have BCBS and I have to do a six month weight loss with my PPO.. Which she agrees with me is a waste of time bc I have 6 years of documentation that shows my struggles, however the insurance company wants 6 consecutive months..

  • Author

Wow that's crazy... I guess it really depends on what company you work for and what insurance plan they buy into...

Did you guys have any stipulations with regard to the nutrition classes? Do I need 30 days between each class?

  • Author

I had to have one nutrition consult with a certified nutrition, and a preop workshop.

  • 4 months later...

Hi All,

I work for Verizon Wireless, and have Anthem Blue Cross Blue Shield (BcBs). My initial consultation was 12/23/13, I was able to see all the specialist and get approval by 1/14/14. The paper work was submitted to my insurance on 1/23/14... I am bitting nails (not literally) waiting to hear back!!!! I am scheduled for RnY gastric bypass on 2/26/14. I am so anxious, nervous, and excited, but my initial worries are the insurance approval. Has anyone ran into problems with Anthem?? Help!!! LOL

  • 1 month later...

I have BCBS of Ohio (company is located there) and I only had to do one month of supervised weight loss plan. I also had to have a letter from my PCP, attend one support group meeting, have a pysch eval and appt with nutritionist. Just finished everything today, so hoping the rest goes smoothly and quickly.

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