5 years worth of medical records and BCBS

taylormomto6 · April 3, 2008

5 years worth medical records BCBS

Have any of you with BCBS (I have Blue Shield Access HMO and am in CA) been approved without 5 years worth of records. Does it have to be the last 5 years?

I have not had insurance and maybe have 1-3 doctors visits during this time. However, since I've had 6 kids (starting in 1981 and ending in 2000) I can get them weight/blood pressure records in 9 month increments from the obs office:blink:

I really hate to think I'm going to have to wait 5 years to begin this process. I believe I'm a great candidate for surgery and my BMI is 42.

Thank You!

Cindy T

NicoleW8ing · April 3, 2008

I have BCBS...

Here's the skinny on the 5 year. They like it a lot, but it doesn't necessarily have to be 5 CONSECUTIVE YEARS. If you can get 5 weights within the last 10-15 years, you should be fine. I was in a similar situation. Instead, I had my grandmother who works at a doctor's office a few states away just manufacture some weights for me. I know, immoral, but after dealing with BCBS for 4 months on this, I am none to happy with their morality standards. My struggle with BCBS has nothing to do with that weight history though, my BMI was above 50. Anywho, suffice to say it is no longer above 50.

No one.... not the insurance company, the doctor, no one batted an eye at that 5 year weight history that was fudged for me. In any case, my doctor informed me that not many people have a 5 year CONSECUTIVE history. Remember, the more data you submit to the Insurance, the better off you are... so if you have 20 years off and on, then submit everything you got.

Good luck and please let me know how it works.

taylormomto6 · April 3, 2008

Thank You! That makes me feel more encouraged. I'm not concerned about the morality issue. If I must, I will find a way myself.

I've been over 40 BMI for most of my life and spent a good amount of time trying to dress to hide it. I find it ironic I am now concerned about proving it:laugh:

Cindy T

mandilou · April 3, 2008

I actually just got off the phone with BCBS-IL, and the lady was so nice. When I asked about the five year history, she said feel free to dump in any medical documentation re: weight/BMI/weight-loss/co-morbidities from as far back as you've been obese. She said the more info, the better. So I can't imagine they'd punish you for sending them information from more than five years out, as long as it shows you've been obese.