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Experiences with BCBS - Illinois

Hi everyone! I'm just starting to look into WLS, and I'm curious about people's experiences with BCBS-Illinois. What hoops did they have you jump through? How long did it take to get approved?

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  • It's going fast for me.. I went for my consultation on 1/20/16. With my insurance, and possible yours (I'm PPO) they don't require a medical assisted diet. So I was told around the end of February to

  • I went for my first doctors appt on 12/10. Did psych eval, nutrition visit, lab work... Submitting tomorrow. BMI is 37 and I have osteoarthritis. My labs showed high cholesterol, ldl and prediabetic.

  • I have BCBSIL. I started on my WLS journey in august 2015. My bmi was 56 or 57, insurance required psych eval and 30 day follow up with surgeon. Because I was a bad snorer, surgeon required sleep stud

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Update

I received a letter today from the insurance company. Denied. They say the surgeon didn't provide proof of nutritional counseling or behavior modification consults. Which I did both. So they didn't say anything about BMI or comorbidities. Tomorrow I'm stopping by with the letter so they can appeal.

  • 1 month later...

Hello everyone

I've been MIA for a while. But today finally after 8 weeks of submitting my paperwork to the insurance company and being on the pre-op diet for 4 days: my surgery was approved! I'm scheduled for April 18th! So happy. Finally this is really happening! After going back and forth with my insurance company it's all good! It's like I still can't believe it!

Woohoo.

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