I have BCBS of Alabama and I was denied because I do not have 2013 medical records. I was told to send in pictures. I have read their surgery manuel for obesity and it said something about getting a letter from your PCP. Everything is double underline so I'm not sure what this means. Have anymore had to send in picture documentations and did you have to send in a letter, too? The PCP is the one who referred me to this surgeon and he has already sent in documentation the first time.

I also have BCBS of Alabama.

I live in WV and was denied surgery in December 2016 after having 6 consecutive months of doctor visits. They required me to submit forms stating that I had a BMI of over 40 in the years 2013, 2014, 2015.

I went to 3 different doctors to get these forms. It was difficult.

In the end, I wasn't approved until after the new year 2017 and missed my paid deductible for 2016 (which would have saved me $3,000). Now I'm waiting on my huge doctor bill to come in the mail

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I also have BCBS of Alabama.

I live in WV and was denied surgery in December 2016 after having 6 consecutive months of doctor visits. They required me to submit forms stating that I had a BMI of over 40 in the years 2013, 2014, 2015.

I went to 3 different doctors to get these forms. It was difficult.

In the end, I wasn't approved until after the new year 2017 and missed my paid deductible for 2016 (which would have saved me $3,000). Now I'm waiting on my huge doctor bill to come in the mail

????Sent from my iPhone

The same here my 6mth visit was in Dec but the surgeon office said it had to be 180 days for them to even think of approval so I did 7 visits and then got denied because they said my BMI was to low in 2013 but I had pneumonia that yr ughh now waiting on a Dr note I should hear something by the end of Feb if not I have to start the this g all over again and wait till next Feb which don't make sense

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Oh wow Martinichick, I'm really sorry for all that. This insurance does give ya a run around.

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Any body on this thread that work for Motion Industry?

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@ Connie Y . Yes they do give you the run around ,I didnt think that 3 yrs ago when I was sick would affect how my weight is now ,now im waiting again becasue the Dr.office called me Monday and was a little confused when she got her c.c. and BCBS is saying now it was denied becasue she never sent over the physical paper from the surgeon and that she has to resubmit it .So know its a wait and see game for a couple of weeks

Edited February 15, 20179 yr by Martinichic

After I was denied because of not producing records from 2013, they want a letter from PCP and pictures. I finally got the my primary care doctor yesterday and took it to the surgeon office today. I am waiting to see what they will come up with next. Did anymore hear that they are BCBS is going to be stricter when it comes to weight loss surgery?

On ‎2‎/‎15‎/‎2017 at 7:36 PM, dstgirl11 said:

After I was denied because of not producing records from 2013, they want a letter from PCP and pictures. I finally got the my primary care doctor yesterday and took it to the surgeon office today. I am waiting to see what they will come up with next. Did anymore hear that they are BCBS is going to be stricter when it comes to weight loss surgery?

I am right there with you on this as we speak, and it kills me that we pay all this money into BCBS and can never get what we truly need out of them. But only waste our money on all ourhigh co-pays and such and do our part to stay fit and healthy, but then we get denied for various reasons but in all reality we are saving them money in the long run. I will never get it I guess.I have not heard of them stricter but you never know .

Finally got Approved my surgeons office had to do a provider appeal and now I'm off to my BEGIN class next week then just wait for that clearance one step closer to a new journey ,Its a lot of work and paperwork and stuff but after I thought about just up and forgot about I got that call ,

Congrats!!!

Martinichic,

How are you feeling?

Finally got approved last Thursday!!!