Hi

Anyone have this insurance? If so how was your experience? Thanks!

I have this. I've had no issues at all. Just make sure you have a copy of the policy regarding WLS to make sure there are no surprises.

I have this. I've had no issues at all. Just make sure you have a copy of the policy regarding WLS to make sure there are no surprises.

Amazon it is great to find someone in these blogs with the same insurance. I do have a copy of their policy and I qualify with a BMI of 40 with no health problems. Do you know what happens if I loose weight before the surgery and go below the 40 BMI? Will I be in danger of not being approved for surgery?

Also, I am not yet totally clear on how much will I need to pay out of pocket. Does BCBS cover 100% of the surgery? My policy has a deductible of $250 and an out of pocket max. of $2500 plus $300 hospital admission fee. I know for sure I am responsible for the $250 and $300 but about the $2500? Definitely calling BCBS tomorrow to see if someone can answer me. When ever I call they do not seem to know too much about WLS and what is covered and what is not.

I am going to the Bariatric Center at Lowell General Hospital, where are you going?

Thank you

great!

I had to pay my co-pay for the inpatient surgery, $500. Plus my office visit copays through the pre-op appointments. All of my blood work and tests were covered.

I would imagine that these amounts vary based on your plan.

As far a weight loss - I was told by my team that they only go by your initial weigh in. (As a matter of fact, when I told them I had BCBSMA they said they were the easiest to work with.) I qualified because I was just over 36 BMI with co morbidities. I was 195 the day of surgery because of the weight I loss pre op. That was well below a 35 BMI. If you're worried about that, it doesn't hurt to call and ask them.

Hello, I have bcbs kinda scared they told me copay of $500 and no more than $3000 out of pocket. Did anyone have to pay this much? Hopefully I won't.

I live in NC, but I have BCBS of MA through my employer. We are based out of Cambridge. Plans can vary quite a bit, but I was responsible for $20 copay for office visits. I also paid a $20 copay for my upper GI visit. My surgery is March 9 and my out of pocket will be $250. My total cost for the entire process is approximately $375.