Anthem PPO INS

[sjones0601 11]

Just getting started with the process. Have already had the seminar and have my first visit with my surgeon next week. What's the process like?

[hockeyfan7 249]

Do you have Anthem Blue Cross/Blue Shield? That's what I have. I had to have the following:

- 6 months supervised weight loss program - my doctor just wrote a letter that I had been doing Weight Watchers under her care

- 2 visits with a psychiatrist

- 2 visits with a nutritionist

- sleep study

- Mammogram

- Pregnancy Test (mind you I'm 52 and can't get pregnant but they still made me do it)

- H pylori test

- Bone density scan

- EKG

- Blood work

- Chest X-Ray

[sjones0601 11]

Yes that's what I have.

[SarahLovy 6]

I have Anthem PPO- I had to have 6 months of consecutive visits (So I was able to complete them in just over 4 months- I had one at the end of February, one in March, April, May, June, then one the very beginning of July, it did not have to be a full 183 days) that included medical supervision, nutritionist visits, and exercise counseling, and I had to be cleared by a psychologist. I also had to be medically cleared, but it was a very generic requirement- they did not require any specific tests (although my dr did).

Anthem seems to vary a lot, lot from plan to plan.

[jess9395 5,450]

I have Anthem blue cross PPO and jt varies depending on what the employer/group has purchased. I had to do much less than most it seems. No six month supervised diet (history of attempts was plenty).

I was under 45 when I had surgery too so I had to do fewer tests.

sleep study (only because I admitted I snored! No sleep apnea though)

Mammogram

General physical and blood work

Ekg

Psych evaluation

One nutrition appointment

I had it all done within 30 days.

[jess9395 5,450]

Do you have Anthem Blue Cross/Blue Shield? That's what I have. I had to have the following:

- 6 months supervised weight loss program - my doctor just wrote a letter that I had been doing Weight Watchers under her care

- 2 visits with a psychiatrist

- 2 visits with a nutritionist

- sleep study

- Mammogram

- Pregnancy Test (mind you I'm 52 and can't get pregnant but they still made me do it)

- H pylori test

- Bone density scan

- EKG

- Blood work

- Chest X-Ray

Lol they let me skip the pregnancy test as I have had my tubes tied and went into early menopause about a year and a half before surgery

[hockeyfan7 249]

I had an ablation and my husband had a vasectomy and they still made me take a pregnancy test. I had to take one before and one right the morning of surgery. When I had my revision in June I had to have one the morning of surgery again. I thought it was rather funny. And menopause has been around since 2006.

[jess9395 5,450]

I had an ablation and my husband had a vasectomy and they still made me take a pregnancy test. I had to take one before and one right the morning of surgery. When I had my revision in June I had to have one the morning of surgery again. I thought it was rather funny. And menopause has been around since 2006.

That's just crazy LOL

[Leesa926 72]

I have Anthem BCBS of OH and everything I read showed 6 months but the insurance person at my doc said it was 3 months and showed me the policy. Careful what you read online as I have heard so many different versions just hoping the insurance pro at my doc is correct - she says she double and triple checked....

[Sag121271 0]

I live in De, I have BCBS Anthem. I had to do 3 months, twice a month with nutritionist, 1 psych eval, blood work, dr & cardiologist clearance, EGD, Pulmonaet test, chest x-ray. My EGD was scheduled for tomorrow but had to cancel since I forgot to stop my blood thinner & aspirin, i have 1 nutrition class left on Sat, & my pulmonary test on 10/15 then Inwill be done with all the requirements.

[MissAKY 32]

Hey - congrats on taking on this new journey. I had to complete the following requirements

- 6 months supervised weight loss program - my doctor just wrote a letter that I had been doing Weight Watchers under her care

- 1 visit with a psychiatrist

- 2 visits with a nutritionist

- Barrium test (to see the shape of my throat and stomach)

- EKG

- Blood work

- Chest X-Ray

- Attend 2 surgery orientation classes (required by my dr office)

Tu 5/26

I had my initial visit with my surgeon to get the ball rolling to start surgery process.

W 5/27

First appt with nutritionist

Completed all labs and tests required. Took a total of 90 minutes for blood work, barrium test and chest x-ray - including wait time.

W 7/15

Second appt with nutritionist

M 7/20

Psych eval

T 9/1

Final visit with nutritionist

F 9/4

All documents were submitted to surgery scheduler to submit to insurance

Th 9/10

Submitted to insurance

F 9/18

Insurance approved surgery and booked surgery for 10/12/15

In preparation for surgery I have the following requirements

- Pre-op clearance from PCP

- Attend orientation with El Camino hospital intake nurse

- Attend nutrition class that goes over food, Vitamin, etc post surgery

- Pre-op with Dr. Khalil (surgeon)

- 2 week all liquid diet before surgery