Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

BC/BS Basic Federal

ronwifey

Recommended Posts

DiscoDiva    0

DiscoDiva
Posted

I just wanted to know others experience (if any) with Blue Cross Blue Shield Federal Basic?????

We have this insurance. I only have good things to say about them. I was approved very fast for my lap band and so was my daughter. :)

Share this post

Link to post
Share on other sites

Teanne    0

Teanne
Posted

I have federal BCBS-standard and they cover it. As a matter of fact they don't actually give you "approval". They offer the coverage and its the doctors responsibility to make sure that you meet their requirements. They said that they don't do any prior approval for surgery. So that sounded good to me. I am having my surgery on 1/28. I went to a BCBS seminar at my husbands employer and the BCBS lady said the basic difference with basic vs standard is mostly the out of network amounts and the mail order pharmacy. So you should be fine. Good luck.

Share this post

Link to post
Share on other sites

PTinUtah    0

PTinUtah
Posted

Ive read a few times on here that bcbs federal only pays for fills for a year. Gosh I hope thats not true. It could get rather expensive. does anyone know what the copay is for a fill? I know everyone is different but how often do you have to have a fill after the first year?

Share this post

Link to post
Share on other sites

Lattedah    18

Lattedah
Posted

Hi, Teanne. Is your doctor a participating provider? I also have BCBS FEP Standard. The surgeon that I want to use is a non participating provider. With BCBS Standard the procedure will still be covered at 75% of billed charges and I will be responsible for the remaining 25% and the $300 deductible. If I go with a participating surgeon, BCBS will pay 90%. I really like this surgeon and his practice... so I think for peace of mind, I will go with him. I have my first appt. next Wed. I'm hoping I won't have to wait too long to get the surgery scheduled. Teanne, are you scheduled for surgery? May I ask where you live? I'm in Fairfax, VA. Thank you and good luck to all...

Share this post

Link to post
Share on other sites

Lattedah    18

Lattedah
Posted

Hi, PTinUtha. I see we're both getting through the BCBS details. I didn't know about the fills only being covered for the first year. Darn!

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
Go To Topic Listing Tell Your Weight Loss Surgery Story

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×