Anybody had success getting approved with this particular plan?

How long did it take to get approval?

If you were denied what did they require to get approved?

My doctors office has never dealt with this particular plan so they sent in my stuff earlier then normal just to see what they came back with for a response.

I have spoken to 3 different agents and gotten a copy of their pre auth form and their bariatric medical policy but all are very vague about what they want for proof of previous attempts and number of dietician appointments they require for approval.?

thanks!

Edited March 1, 20197 yr by Hidden

Where are you? I had my sleeve in December and BCBS was really very good about it and I didn't have to go through very many hoops. But then, I had co-occurring morbidities that supported the need for the surgery. I live in Massachusetts.

1 minute ago, seaforest said:

Where are you? I had my sleeve in December and BCBS was really very good about it and I didn't have to go through very many hoops. But then, I had co-occurring morbidities that supported the need for the surgery. I live in Massachusetts.

I’m in CT the company I work for has their main offices in MA so I think thats the base for my insurance...

I have PCOS & GERD but nothing they really consider a co morbidity.

My guess is that you will be fine. Hopefully, your team knows all the right things to say to get you approved.

Hope so ?. Did it take long to get a response from anthem?

I don't know how long it took because they worked on it while I was doing the stuff you have to do before you get scheduled for your surgery.

I have BCBS IL ***, when I was getting approved they informed me it was the medical group that did the approval not BCBS because it was an ***. You should just call and ask them.