Is Premera BCBS (WA/AK) good to work with?

[hayleyw4 0]

Hi all,

I've just started this process. Premera requires i do a 6 month physician supervised diet, I go in for month 3 next week. I have a BMI of 51 so I know I meet that requirement. I'm just really worried about the 6 month diet, that I'm gonna do all this work then have them say denied cause I didn't go in on the 3rd Thursday of every month at 9:26am. I was just wondering if they're really strict on this or if they're ok she went in once a month for 6 months, check.

I just keep fearing insurance is going to be a nightmare.

[hayleyw4 0]

Oh and all my policy says is 6 month physician supervised diet, it doesn't list anything specifically. I've tried calling and emailing the insurance company which is like pulling teeth cause you talk to 3 different people and get 3 different answers. One lady even told me the 6 month diet wasn't insurance requirement but she thought the surgeons requirement, I had to read the policy to her. This is why I fear there's something I don't know about that's gonna get me denied.

Edited June 21, 2015 by hayleyw4

[momma_missie 30]

Have you attended any WLS seminars anywhere yet? Do you have a facility/doctor in mind for surgery? Perhaps they have an insurance specialist available to help with this? Dealing with insurance companies is a major headache. Best of luck to you!!

[Sharon1964 2,530]

If your insurance company isn't any help, then talk to the staff at your surgeon's office.

The surgery coordinator at my surgeon's office told me that I just have to go every single month (don't miss a month or you have to start the count over). She gave me a list of things to have my doctor document each visit (discuss weight, eating habits, exercise). She said my insurance company doesn't count the first visit with the surgeon as part of the six months visits, but some other insurances do.