Hi ! Last week the office called and said they verified with insurance and my first appt is Monday 14th to see the doctor and psychologist. I've been trying to find what my insurance requires for approval and am having no luck. Today I got in the mail a benefits summary but it still doesn't show requirements etc? It also had included a paper for me to approve the office to discuss with them anything with my insurance etc. anyone else ?

I have anthem BCBS

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The insurance coordinator at the surgery practice should be able to help.

i have anthem as well. My policy requires a 6 mo. supervised diet, BMI of 40 or 35 with comorbidities and that's pretty much it. Check on their website. It lists all the req

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requirements.

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Hi ! Last week the office called and said they verified with insurance and my first appt is Monday 14th to see the doctor and psychologist. I've been trying to find what my insurance requires for approval and am having no luck. Today I got in the mail a benefits summary but it still doesn't show requirements etc? It also had included a paper for me to approve the office to discuss with them anything with my insurance etc. anyone else ?

I have anthem BCBS

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I have BCBS New England (HMO) and called the 800-number on the back of the card, they emailed me the eligibility criteria as a PDF file. That was pretty clear. The surgical group handled the final communications and I expressed profusely my need to ensure coverage before undergoing the procedure - they said they do that as a matter of routine.

Brittney, this may help you some. I called anthem many times even before I went to my PCP for a referral and was told I just needed the surgeon to call for a pre-authorization and to have a BMI of 40+ or 35 with comorbities. I get into the process and find this. 6 months of a non-surgical weight loss program supervised by a doctor.

https://www.anthem.com/medicalpolicies/policies/mp_pw_a053317.htm

Brittney, this may help you some. I called anthem many times even before I went to my PCP for a referral and was told I just needed the surgeon to call for a pre-authorization and to have a BMI of 40+ or 35 with comorbities. I get into the process and find this. 6 months of a non-surgical weight loss program supervised by a doctor.

https://www.anthem.com/medicalpolicies/policies/mp_pw_a053317.htm

The policy also mentions a psych eval

@@shrinkingkimber

Thank you! I finally found and printed that but I wonder why some are different? My friend also has bcbs and she did not do a supervised diet for 6 months. That's why I'm confused. Either way lets do this !

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@@shrinkingkimber

Thank you! I finally found and printed that but I wonder why some are different? My friend also has bcbs and she did not do a supervised diet for 6 months. That's why I'm confused. Either way lets do this !

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It confuses me to no end!! Ahhh! I've thought about asking my surgeon's office to try to submit my paperwork after 3 months (he requires 3 months) just to see if it's really required! Either way, I'll keep moving on!