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

BCBS of MA



Recommended Posts

Hi

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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 :)

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

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

    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 0 replies
      1. This update has no replies.
    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
  • 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

    ×