Hello,

Does anyone know if BCBS requires 6 months or 180 days of monitoring before surgery?

TIA

~Sandy~

I have BCBS FED Basic Ppo. I had 90 days supervised diet with a nutritionist a psych evaluation (over the phone interview), and another physical. If you are at 40 BMI it is easier.. no comobidity required. If you are under 40 bmi they require at least two comorbilities. My primary physician referred me to the Bariatric surgeon but only for nutrition services as my bmi was under 40 at the time of the referral and he told me I would not be approved for surgery. Once I saw the surgeon she told me I could qualify even though I wasn't at 40bmi.. it was a bit confusing but long story short I was approved.

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Edited November 14, 20169 yr by gigiinDC

you have a right to know what your insurance covers, i would be talking to the manager and demand answers...

I tried calling them three times and they won't release any info on that topic with me. They tell me to call the surgeons office. They also won't say anything until my appt. So I gave up and will just wait. But I did start mtg with my PCP monthly anyways can't hurt anything.


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I am a teacher and have BCBS state of Mississippi. My weight management doctor keeps telling me she can get me approved. I am just a little skeptical. I have just been diagnosed with sleep apnea. My bmi is 38.2 . Anyone familiar with BCBS of MS?

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I have BCBS FED Basic Ppo. I had 90 days supervised diet with a nutritionist a psych evaluation (over the phone interview), and another physical. If you are at 40 BMI it is easier.. no comobidity required. If you are under 40 bmi they require at least two comorbilities. My primary physician referred me to the Bariatric surgeon but only for nutrition services as my bmi was under 40 at the time of the referral and he told me I would not be approved for surgery. Once I saw the surgeon she told me I could qualify even though I wasn't at 40bmi.. it was a bit confusing but long story short I was approved.

Thank you! We also have BCBC FED Basic PPO. I am 36.9 bmi with high cholesterol, type 2 diabetic and possibly sleep apnea. With the referal by your primary for nutrition services, is there anything that I need to make sure that my PCP does for my referal.

Thank you again.

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I'm in Nebraska and I am doing 3 months monitoring.

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No I don't think so just make sure they write that they're diagnosis is obesity and more your comorbidities

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You may have to do a sleep study too based on the possible apnea

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