Jump to content
×
Are you looking for the BariatricPal Store? Go now!

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



Recommended Posts

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.

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×