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BCBS FEP w/ BMI between 35-40...Questions

For those of you with a pre-band BMI between 35-40...

Did BCBS FEP require a 3 or 6 month weight loss program before authorization was granted?

What conditions do they consider to be co-morbidities?

How long did it take to obtain approval?

I appreciate your input.

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I know this doesnt answer your full question because my BMI was just above 40 so I was not required to have co-morbids.

(comorbidities), such as:

(comorbidities), such as:

· Type 2 diabetes

· Hypertension (high blood pressure)

· Heart disease

· Stroke

· Breathing difficulties (Sleep Apnea)

· Cancer

· Joint problems

As I said my BMI was above 40 but it is my understanding that FEP BCBS does not require a diet of any kind for anyone. You can check if this was changed by looking at the plan book located online at Announcements

My paperwork was submitted Thursday and I was approved by Monday. They also paid my claims very quickly. Good luck you have great insurance!

Also, Hyperlipidemia (high cholesterol) is considered a comorb

......eat a supersized quarterpounder meal before the test...hehe

Just kidding, you will probably have to fast.

Good Luck

My BCBS (federal) said that the only co-morbidities they would accept were:

1. Heart disease

2. Lung disease

3. sleep apnea

I didn't have any of those and my BMI was initially 35.1, then during the stressful appeal process it climbed to 37.5 and when I wrote my appeal letter, I included that along with lots of arguments about my health and my life quality that finally convinced them to approve me.

Good luck. If you need to appeal, I'll be happy to share my letters.

  • 4 months later...

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