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Anyone use BCBS MA?

mnbeane

By mnbeane, in Insurance & Financing

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mnbeane    8

mnbeane
Posted

I’m having a horrible time with the business office of my doctors office. I live in NC but my insurance is through MA. They keep telling me I have a 6 month wait/supervised weight loss program but no one I’ve contacted at BCBS MA sees that requirement. Just wondering if anyone else has run into this issue and if so what did you do? Thanks!

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porkytits    5

porkytits
Posted

I’m having a horrible time with the business office of my doctors office. I live in NC but my insurance is through MA. They keep telling me I have a 6 month wait/supervised weight loss program but no one I’ve contacted at BCBS MA sees that requirement. Just wondering if anyone else has run into this issue and if so what did you do? Thanks!



Omg how annoying!

I have BCBS of MA and live in NY. The requirements that bcbsma lists doesn’t include a supervised diet of any sort. It may be something that your surgeon requires?

I have my initial consult on Friday, so I’ll let you know what my surgeon says about it.


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mnbeane    8

mnbeane
Posted



Omg how annoying!

I have BCBS of MA and live in NY. The requirements that bcbsma lists doesn’t include a supervised diet of any sort. It may be something that your surgeon requires?

I have my initial consult on Friday, so I’ll let you know what my surgeon says about it.





Thanks! I finally got BCBS to respond to an email that says there is no 6 month period so I forwarded that to the business office and am waiting for the latest response. Good luck!


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TGTCEGCC    2

TGTCEGCC
Posted

I’m having a horrible time with the business office of my doctors office. I live in NC but my insurance is through MA. They keep telling me I have a 6 month wait/supervised weight loss program but no one I’ve contacted at BCBS MA sees that requirement. Just wondering if anyone else has run into this issue and if so what did you do? Thanks!


I have blue shield of Ca and spoke with them twice and they have said only 3 months/ 12 weeks but the coordinator also gave me a sheet yesterday with the 6 month /24 week option checked off and i even said to the doctor that’s wrong lol and I think they just assume all BC or BS requirements are the same and not by specific policy! I have a copy of blue shields specific requirements if you’d like a copy, it’s a pdf.


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porkytits    5

porkytits
Posted

IMG_0768.JPG

Here is bcbs ma requirements.


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porkytits    5

porkytits
Posted

Just had my initial consult this afternoon and was told that my insurance with bcbs ma only requires 3 months of weigh ins but my doctor told me not to lose more than ten pounds because I don’t want to fall under the required BMI.
I don’t even have to make the appointments, I just have to stop by the surgeons office every thirty days just to weigh in.

We are looking at surgery in August.


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kimberlymi    113

kimberlymi
Posted

I’m having a horrible time with the business office of my doctors office. I live in NC but my insurance is through MA. They keep telling me I have a 6 month wait/supervised weight loss program but no one I’ve contacted at BCBS MA sees that requirement. Just wondering if anyone else has run into this issue and if so what did you do? Thanks!




It may be your WLC requirement. My WLC requires a 6 month Doctor /
NUT supervised program. They do not budge on this 6 months at all.


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