Hi, I am starting out in the process and my husband's ins is BCBS TX. Does anyone have any recent stories about the requirements, submission process, and approvals. I appreciate any info you can give. Thanks...

That's who I have insurance and with my bmi all I need is a psych evaluation for them to cover it. I still have to at my deductible though and all that. It was a much easier process than I anticipated.

Thanks...that makes me feel much better. I have been soooo worried about going through this whole process.

I'm not sure what they base their decision on though. I'm sure it depends on bmi.

I also have BCBS of Tx and the process with True Results was real simple. They don't really require a lot like other insurances do. They will approve if your BMI is above 40 or 41 I believe, or if its 38 or higher with comorbidities. If you meet the BMI qualifications they only require a PSYCH Evaluation and they a letter from a Dr (which True Results handled for me).

Best of luck!

I have bcbstx and after doing everything required I was denied and they told me it not only wasn't on my specific policy but it doesn't get approved in the state of texas. I am now self pay. I'm so pissed. My bmi is over 40 with co-morbidities and they told me too bad so sad. Bcbs can't find of course any of the calls from when my surgeon's office called to verify.

I should add we are self employed and our insurance is bcbs but private. Ppo. $800 a month for the highest package they offer and it's excluded. :/

My paperwork should be submitted anytime between today and next Fri. Waiting game is on now...I'm excited and nervous at the same time. I'm in pray for a quick approval. I'll keep everyone posted on their decision. Thanks for the support and information.

I'm sorry to hear that @nerdmom. Are you self-pay with the same physician or have you decided to go to Mexico?

Thanks @@Teebaby I hope all goes smoothly with your approval. My situation is unfortunate but I am fortunate to be able to pay on my own for the most part. My same surgeon's rate is $10,500 flat rate. If I were to head to Mexico theirs was like $6,800 and their hospital is like 30 miles from my house. I'm staying with my surgeon because I'm really insanely picky about doctors and I'm comfortable with him. If I were to head to Mexico I also would not have anyone to watch my kids while I was there. So that also played a factor.

Edited March 13, 201511 yr by nerdmom

My paperwork should be submitted anytime between today and next Fri. Waiting game is on now...I'm excited and nervous at the same time. I'm in pray for a quick approval. I'll keep everyone posted on their decision. Thanks for the support and information.

My paperwork was submitted on 03/10/2015. I called to checkup today, and it currently under review. I hate waiting!

Hi, everyone! I found today that I have been approved for surgery...I'm super excited!!! My paperwork was submitted 3-13-15 and the decision was made 3-16-15. I received the letter from BCBS TX in the mail today. I have waited soooo long for this day. I don't have a surgery date yet, but that should be coming this time this week. Thanks everyone for your advice. Good luck to everyone!!!

That's awesome, I hope mine happens that fast...I have BCBS of Texas also, they received mine on 3/30 so I am just waiting. I pray everything goes well for you!!!!

@@heartonmysleeve82 thanks for the prayers...i will lift you in up in prayer as well.

Surgery scheduled for May 4th!:-)

@@Teebaby that is awesome! I got my approval on Friday but awaiting my letter to come in the mail. I am hoping for a date the 2nd week in May *fingers crossed*