Federal BCBS paid for my sleeve 100%, minus the copayments for the hospital and my surgon!

[littlelaura 43]

Got my approval from BCBS today and then got the call to schedule surgery. June 17th also. Getting nervous and always worrying about complications.

[Rovobay 920]

Federal BCBS Standard here. just want to follow this thread for future reference as I am early in my journey....

[mamaofmatthew 51]

I'm doing my 3 months do doc supervised weigh ins right now, one month left. I've done my nutrition consult and my psych eval.

How did you show you did 2 yrs old failed diets?

[TK Sleever 6]

I brought in weight records from MD visits over the last two years, plus records from the medically managed weight loss program I was in last year.

[GardenLady 9]

I'm doing my 3 months do doc supervised weigh ins right now, one month left. I've done my nutrition consult and my psych eval.

How did you show you did 2 yrs old failed diets?

I brought in weight records from MD visits over the last two years, plus records from the medically managed weight loss program I was in last year.

I didn't have to show a history of trying to lose - they saw that I was obese for a period of several years and that was enough apparently. They never really seemed to even ask me that I recall. I may have volunteered that I had tried and lost about 40 on my own but then plateaued and didn't get any further but that was pretty much it. When they were looking at the documentation in my records, they said oh we can show the years of. Good thing is that my bariatric center and my clinic are affiliated and so each can see the records of the other. Maybe that made the difference for me???

[mamaruss5 9]

Mine was fairly easy even though I am on the low end. There was an application the MD made me fill out and I had to list all previous failed diets. My primary also wrote them on his referral letter to the bariatric doctor and all of this went to the ins. co. I really didn't have to prove anything. They went on my word.

[HEARTonmySLEEVE2014 24]

I have BCBS Federal as well. How many surgeons did you have? Originally I was told that I had to pay $150/surgeon, but today the Bariatric Coordinator at my surgeon's office said she "re-verified" my benefits, and I'm responsible for $200/surgeon.

[GardenLady 9]

Hey SweeTea,

I've been told that I am responsible for $250/surgeon and $350 for the hospital but they are still working through the insurance process (my surgery was May 12) so I'm not sure what will finally shake out...I have standard.

[Rchobby513 7]

I have the Basic and my bill was $200 for the surgeon and $350 for the hospital. $550 in total.

[HEARTonmySLEEVE2014 24]

I found out yesterday that the surgeon fee went from $150 to $200/surgeon bc of the setting (I will be in a hospital).

@@Rchobby513 did your hospital require a deposit? If so how much was it?

[HEARTonmySLEEVE2014 24]

I found out yesterday that the surgeon fee went from $150 to $200/surgeon bc of the setting (I will be in a hospital).

@@Rchobby513 did your hospital require a deposit? If so how much was it?

[Rchobby513 7]

No I was just asked for $175 co-pay when I was admitted.

[^Lolly^ 18]

Received my Explanation of Benefits for my surgery. My insurance paid everything except for my $250 co-pay for hospital admission!

[Rovobay 920]

so exciting and nerve racking at the same time. I just got some medical history from 2009 showing I was over 40BMI. I haven't been to the dr. since then for 5 years. I am hopeful that all will play out my way. going through all the programs as well. fingers crossed when I get to that point.

[brians34 31]

On the FEP BCBS, did you wait for surgeon's office to contact you for setting up the 3 month of supervised weight lost program or how was that handled?

Also, what did you provide as evidence that attempts at weight loss 1 year prior to surgery was ineffective?