Bcbs federal

[Hopeful2016 24]

Hi everyone

I have Fed BCBS

In 2015 my BMI was 37-38

No comorbidities 2015

2016 BMI 42 sleep apnea

Planning to have sergury in February or March 2017.

I scared I'm not going to be approved because of low BMI 2015. Help

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My BMI was 38 in my history, they actually submitted 1 weight for each of the 5 years and my most recent BMI was 40. Approved 14 days after submission! Good luck.

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[vamping 183]

I don't have anything to add, but I have FEP Blue Basic and had my surgery in October. The process was fairly smooth, and I got my approval back in a very short time. I didn't have to prove anything with food logs or my gym membership. Best of luck to all of you.

[cyndi990 31]

Thanks everyone for your reply to this topic all the information was very helpful.

[dyemond11 43]

I found weights in a file but they are slightly under the 35 bmi, I have 3 comorbidities that I am linking into this with my bmi of 36.6. My Dr agrees that the surgery will be beneficial and I should move forward. I nervous that the insurance won't go for it because of the other numbers.

Anything under 35 BMI do not send to insurance their guidelines are exact with no wavering, whatever you do going forward do not let your BMI drop under 35. You get weighed prior to surgery.

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[dyemond11 43]

Hi everyone

I have Fed BCBS

In 2015 my BMI was 37-38

No comorbidities 2015

2016 BMI 42 sleep apnea

Planning to have sergury in February or March 2017.

I scared I'm not going to be approved because of low BMI 2015. Help

Sent from my SM-J700T using the BariatricPal App

As long as you don't fall under 35BMI ur ok. Read your policy it's in there. Don't be scared. As long as you follow the guidelines your ok. Good Luck!

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[dyemond11 43]

I am going through the process now . 1 yr food log and gym membership ? Are those required ? Everything else looks good. My Dr is requesting endoscopy / upper GI .

I am planning to get the sleeved.

Hopefully around March or April 2017

What about Short term Disability insurance / FMLA ?

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Gym membership I can tell you is not sufficient, ur food logs will ok if it's medically supervised by a dietitian. Someone posted the requirements for 2017, read that to be certain exactly what you need.

Happy Journey!

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[cyndi990 31]

I got a from the lady at the hospital yesterday to let me know she will be summit my paperwork to Fed BCBS today for approval. It's usually takes 15 days to here from back them. Wish me luck.

She said if everything go as planned I will have my sergury mid February.

[trekker954 421]

I think the hardest one for me was to show I failed at weight loss in the year leading up to my meeting with the surgeon as they wanted consecutive weigh in with my pcp who had me on phentermine. I was traveling a lot a skipped a month weigh in over six months. I provided my airline ticket, etc. When all was said and done it took bcbs fep 2 days to approve me.

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[kell911 62]

When everything was done ans you were approved, how much did you pay out of pocket for the procedure? Anyone?

[ursusmaritimus 18]

I got a from the lady at the hospital yesterday to let me know she will be summit my paperwork to Fed BCBS today for approval. It's usually takes 15 days to here from back them. Wish me luck.

She said if everything go as planned I will have my sergury mid February.

How did things turn out? Are you in NoVA? It sounds like you're about 5 weeks ahead of me in the process.

My surgeon's office hasn't asked for that much information from me yet they keep assuring me they have it under control...I'm struggling to believe this is as important to them as it is to me.

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