Anyone with BCBS TN have any issues with getting the sleeve approved????

7 month supervised diet is a new change.

Once I met the requirements (6 month weight program, three years weight history, etc) and my dr submitted the paperwork I was approved within a few days (like 5 I think it was). I had no other health issues just high bmi. I had also met my out of pocket for the year so my only costs were the psyc eval and then one office co pay.

My file was submitted to BC/BS this morning. Was advised 15-30 day for a decision. Fingers crossed!

I was approved! Only took 5 work days to get the approval! #relief

7 month supervised diet is a new change.

Did you have to do 7 months supervised before you were approved. My dr's office has not heard of the change. My paper work from BCBST states 6 months. Just curious?

I had 7 weigh-ins.

My policy reads minimum of 6 months on the supervised diets. So going to PCP every 30 days for 6 months does not equal 180 days. First weigh-in May 25th and 6th one October 26th equals 154 days, which would require a 7th weigh-in. I would just double check with your insurance.

Edited November 10, 201510 yr by knoxvegas

I'm only on month three so lots of time to go. My company tends to change insurance companies a lot so who knows what will happen in December when we see our new policies. I was just curious as I have BCBST now.

Thanks for replying

Actually my policy doesn't read 180 days. It states a minimum of 6 months, which equals 180 days. Either way it means the same thing. Still requires 7 visits on supervised diet.

My policy states 24 weeks / 6 months. In the scope of things what is one more month.

Once I met the requirements (6 month weight program, three years weight history, etc) and my dr submitted the paperwork I was approved within a few days (like 5 I think it was). I had no other health issues just high bmi. I had also met my out of pocket for the year so my only costs were the psyc eval and then one office co pay.

Did you have to lose 10% of your weight?

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