BCBSIL (Central States, UPS) question

[Racshelle 17]

Hello, I am new here. I have an appointment 9/29/16 to begin the process of RNY surgery. I have BCBSIL through my husband's

employer UPS. They advise that BCBSIL will only speak to the provider to give requirements and that they follow the BCBSIL guidelines for WLS. My question is if anyone has used BCBSIL insurance through UPS (team care central states plan U2) where you required to do a six month weight loss program and was there a specific number of years of weights that have to be documented?

[LisaMergs 2,857]

Welcome! Your provider will know. All ANY insurance company will tell you is they follow the BCBSIL guidelines. The provider has dealt with them in the past- the company- and can tell you at your first appt what to expect / need for approval.

Are you IN Illinois?

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[LisaMergs 2,857]

I will tell you- all I had to do was tell my doc which diets, etc I'd done in the past. Never once was I asked for proof from WW or JC etc.

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[Racshelle 17]

Thanks, Lisa for your response. No, I live in GA, my concern is getting the correct information, I have read here that some others had been advised that they had to do the 6 month diet by the surgeon, however the insurance company advised that they did not have to do the 6 month diet. I want to make sure that I do not end up wasting time, my deductible is paid and my surgery would be covered at 100%. I want to have the surgery before the year ends. Thanks for answering.

Collette