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

If you have Federal Blue Cross Blue Sheild, you should be happy! I'm on my dads plan and he has the basic plan but they paid for my surgery 100%. The only thing I had to pay was a $200 copayment to my surgery and $175 for my copayment for the hospital. I orignally was going to do the band, but they don't cover implants and it would have cost me almost 3 grand. I'm so happy it was so cheap for me. I'm so excited for the future. I'm currently 1 week and 4 days post op, I've been on a liquid diet for 2 weeks and 4 days and I've lost 25lbs since I started my liquid diet. I'm so happy. I had such a horrible time trying to lose weight because of my knee and back pain made it almost impossible to exersice very much and I'm hoping once I get down under 200lbs, I hope the pain will fade since I assume it's my weight causing it since I've had test and x rays and all kinds of stuff and doctors can't find anything wrong with my knee or back. So fingers crossed!

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I have federal bcbs too but I'm worried about the copay. My family and I have a tight budget. Has anyone made payment arrangements with the hospital for a copay? My surgery is on May 18

Me too!

I think its up to the hospital and surgeon's office if you have to pay upfront or do a payment plan. I had to pay my surgeon when I scheduled the surgery and the hospital required me to pay 14 days prior to my surgery date

I was approved too. Surgery date May 22. I only have to pay 200

karla 777 - so glad to hear you were approved. Were there any issues with the 2 year weight history? I am anticipating this is where I will have issues as my 2 year weight history has my BMI at 32 and 33 and right now I am 35. Appreciate any guidance you can provide.

  • 2 months later...

I'm a little concerned. My potential doctor had me complete a very simple form, mostly asking my insurance info. I called a week later to ask about when we can set up a consult. The office staff said they submitted my insurance first, as they first want to see if its covered before they even meet me. huh? I would think they need to provide my vitals to my insurance rather than what I say I am height/weight. Does anyone else think this is odd. This is through a hospital and checks all the BCBS requirements for doctors/center of excellence, etc.

What if I meet the doctor and don't feel comfortable with them although great reviews.

Hi wanted to ask if any of yall? Whats the time frame of getting approved w bcbs fed? Im going in for a potenial end of

July but i havent gotten the green light from ins. If not then it gets pushed more into aug. and family has already made plans for the stay and to Take over my lil ones.?? Sum people say one day and they got approved but staff is sayin up to 3 weeks they have seen for approval. :/ just worried. All paperwork req was submitted and been in the wait game. :/

.

Edited by ASUgrad

  • 2 weeks later...
  • 3 months later...

I was approved too. Surgery date May 22. I only have to pay 200

karla 777 - so glad to hear you were approved. Were there any issues with the 2 year weight history? I am anticipating this is where I will have issues as my 2 year weight history has my BMI at 32 and 33 and right now I am 35. Appreciate any guidance you can provide.

@@dekathe Did you every get approved?

  • 11 months later...

Hello,

I'm a little late to the thread, but hope to get a response if possible. :)

For the 3 months of medically supervized dieting, does that have to be completed right before surgery or could you have taken part in a medical program two years prior to seeing insurance approval? Also, what constitutes "medically supervized?" Does going to a weightloss psychologist count?

Thanks for any insight or guidance!

Hello,

I'm a little late to the thread, but hope to get a response if possible. :)

For the 3 months of medically supervized dieting, does that have to be completed right before surgery or could you have taken part in a medical program two years prior to seeing insurance approval? Also, what constitutes "medically supervized?" Does going to a weightloss psychologist count?

Thanks for any insight or guidance!

It has to be right before. Medically supervised means ud either meet with a NUT or a Dr that specializes in diets and exercise. My clinic has a NUT in office

Sent from my iPhone using the BariatricPal App

  • 2 weeks later...

My psych Eval was 500 questions. I passed everything and just waiting on a date. With the holidays everything is kind of backed up so I was told that I should hear back this week. I hope my BCBS PPO if MI covers it all. The money I have set aside can go towards a new wardrobe!

Sent from my iPhone using the BariatricPal App

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