Blue Cross

[thelakeisgone 25]

Hi everyone! I'm just officially starting my WLS journey and my insurance has been pretty vague with myself and the doctors office. I called before I signed up for my seminar and they wouldn't tell me if gastric sleeve was covered or not. Then once my doctors office called before my first consultation, they wouldn't tell them if I have to go to 3 or 6 months of classes. So now we're going to try 3 and submit , and then I may have to do 3 more. Do any of you have issues with them being wishy washy? I also get different answers to questions (no matter the subject) every time I call.

[NCnatalie 8]

I have bcbc of nc and I didn't have to go to any classes.already approved from insurance.

[thelakeisgone 25]

That's good to know! Maybe I'll try and call tomorrow and see what they say. Although, it's different every time anyway. :/

[NCnatalie 8]

Can you go on the website and see?or check the book of benefits?

[thelakeisgone 25]

I haven't been able to.find good detailed info on our site. It's capital blue cross and blue shield. And the book is just the same.

[nerkerle 18]

They should have online access to your policy coverage without needing a user name and password. At least BCBS of IL does. They required 6 month NUT, Psych counseling and such. My BMI is 40.3 with no other health complications and I got approved in 3 business days. Good luck.

[nerkerle 18]

They should have online access to your policy coverage without needing a user name and password. At least BCBS of IL does. They required 6 month NUT, Psych counseling and such. My BMI is 40.3 with no other health complications and I got approved in 3 business days. Good luck.

Wait, I just saw you're in MO, I'm in STL, do you have BCBS of IL?

[Sarah Kjeldsen 1]

I have BCBS of Illinois and I had to have a psych eval, approval from the surgeon and a few check ins with the doctor and dieticians. I had called prior to starting this process to the insurance company just for peace of mind.

[thelakeisgone 25]

I called them today and they still couldn't tell me if I was required classes or not. Just that I have to have medical clearance from my pcp, a phsyc eval and proof of my weight for the last two years. But i already know about those requirements. Looks like I'll try to submit after my third class.

[heartonmysleeve82 11]

I have BCBS of Texas, and I only had to have a certain BMI, a psy eval, and one nutritionist visit and I was approved.

I know each BCBS is different, hope this helps.

[Stephanie Stroup McIntosh 157]

I had BCBS when I started the process. They covered the sleeve and required 6 months. When I called the guy who answered the phone had no idea what was going on. Ask your surgeon for the billing code and maybe that will help you to get a better answer.

[brennasmom 24]

bcbs Alaska. 6 month consecutive months documented weight management psychiatric visit just one Made sure they got all the info they have a great case management department that helped tremendously. If your company has one use them. First time in 30

Years I really liked dealing with insurance company.