Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Getting approved by BCBS federal.



Recommended Posts

I have bcbs federal. Any suggestions on how to have a better chance on getting approved?

Share this post


Link to post
Share on other sites

Hi Mz. Newlife

I recently was denied by BCBS Federal (standard) because my BMI < 40 and my co-morbidities were minor, according to them. After I did a sleep study and did the required 3 month medically supervised diet I discovered this with my denial. They were looking for obstructive sleep apnea, hypertension, diabetes II, to name the major ones. My co-morbs were GERD, depression, & arthritis. When I talked to my case manager at BCBS she said they are no longer accepting GERD as a serious co-morbidity, and neither depression or my arthritis were life-threatening,

They also required 2 years of weight history from dr.

I did all the requirements only to be denied FLAT, with no prospects of appeal.

Be glad to answer any other questions. I'm trying to figure out my next step.

Share this post


Link to post
Share on other sites

Aww wow. Im right at bmi of 40 with no problems. You think ill get approved?

Share this post


Link to post
Share on other sites

Aww wow. Im right at bmi of 40 with no problems. You think ill get approved?

Most likely, since your at 40. Good luck & let

us know!

Share this post


Link to post
Share on other sites

Ok. Thank u.

Share this post


Link to post
Share on other sites

Same insurance here.... only part I am worried about is 2 year evidence of bmi greater that 40. I was diagnosed in 2009 and haven't been to a dr. from 2009 til 2014. I am hoping for some good will.... jumping through all the hoops to not get approved would be a huge let down.

Share this post


Link to post
Share on other sites

Yes i skipped a year or two so let us know how u do?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×