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I'm confused....BCBS of MI

I called my insurance company today which is blue cross Blue Shield of Michigan. I was told that my insurance does not require a prior authorization however there are prior requirements that need to be met before surgery for example the six-month diet. so am I safe in assuming that my surgery is approved since there is no prior authorization required and I've completed all the requirements already? I asked the lady on the phone however it seemed like she kept getting around my question and saying there isn't a prior authorization required...

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I think I would ask for that in writing, I have BCBS of OK and I asked them to fax me things that I wanted in writing and they did, twice. Also, has your surgeon's office worked with them before? Maybe they can help you. Good luck.

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I think I would ask for that in writing, I have BCBS of OK and I asked them to fax me things that I wanted in writing and they did, twice. Also, has your surgeon's office worked with them before? Maybe they can help you. Good luck.

My surgeons office said they've never really had a problem with my insurance and that's the "ideal" insurance for patients to have ... I'm not too worried but I was waiting for an approval after my 6 month diet so when she said that it kind of threw me off

  • 3 weeks later...

Rdelly01, did you get this figured out? I have BCBS of MI and I am having surgery in 2 weeks. I can tell you what they required me to do if you need?

I am attending a presentation Tuesday and then I will probably be getting an apt with my Dr in Michigan, so I might be going down the same road as you.

You can typically look up the info online. I have Keystone 65 which is a Blue and I can easily look up coverage information online.

  • 5 months later...

Rdelly01, did you get this figured out? I have BCBS of MI and I am having surgery in 2 weeks. I can tell you what they required me to do if you need?

Karess, can you message me about what was required for you?

I have bcbsmi thru my husband's employer, the dr I am using has been kind of unclear about some things...they just keep saying to get the psych evaluation, cardiac clearance, and to write down my diet history attempts on paper, they're leading me to believe they can get past the 6 month diet preop ..especially because I am just meeting the bmi requirements and if I lose any weight I won't...idk I am confused and just want to know how soon I can get this done.

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