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

Approved record time BCBS!



Recommended Posts

I am just getting started with the whole process. I am going to a seminar Thursday. What all do you have to do to qualify? And what steps do you go thru before being approved for the surgery(besides the 6 months with a dietitian)? Any information would be greatly appreciated.

Share this post


Link to post
Share on other sites

I do. Well, technically we have their national plan but it is all administered the same. I was approved either the day my information was submitted or the day after. I'm not sure what day the surgeon's office actually sent it in. A nurse manager called me on the afternoon of Jan. 30th and approved me over the phone that day.

Thank you for your response. I will call on Thursday to check.

Share this post


Link to post
Share on other sites

I am just getting started with the whole process. I am going to a seminar Thursday. What all do you have to do to qualify? And what steps do you go thru before being approved for the surgery(besides the 6 months with a dietitian)? Any information would be greatly appreciated.

It all depends on your surgeons requirements, if you're self pay, if you have insurance, your weight, your comorbities... Theres just not a set guideline really... The best thing to do is if you have insurancec call them ahead of time and have them fax you the part of your policy that talks about the bariatric surgery coverage so when you fill out the surgeons paperwork you have that info to get a head start.

Share this post


Link to post
Share on other sites

I got my approval today. I am scheduled for May 22. My paperwork was sent on Thursday and it was approved on Friday!!!!

Share this post


Link to post
Share on other sites

I got my approval today. I am scheduled for May 22. My paperwork was sent on Thursday and it was approved on Friday!!!!

Awesome! Congrats... Boy do I know how it feels to finally have a date :rolleyes2:

Share this post


Link to post
Share on other sites

Congrats! I know the feeling of excitement to begin anew! BCBS would not pay for me, so I'm having mine 4/19 in Mexico. I feel very good about the facility and surgeon - as you did I have done a ton of research. Good luck and keep posting as you proceed.

Share this post


Link to post
Share on other sites

I GOT MY RESPONSE WITH IN HOURS!!! I WAS IN A STORE WITH MY FRIEND AND I WAS JUMPING UP AND DOWN LIKE A LITTLE KID. I AM SO EXCITED THAT AFTER PONDERING THE IDEA OF SURGERY THAT IT WAS SO QUICK AFTER I MADE MY FIRST APPOINTMENT TO FIND OUT I WAS APPROVED BY BCBS.. YEHA YEAH YEAH YEAH!!!

Share this post


Link to post
Share on other sites

CONGRATS!!!!! How long was the process of getting approved---I mean from day one-did you have to do the six months with a dietitian and the sleep study?

Share this post


Link to post
Share on other sites

i have done the dietitian thing with my doctor i have been trying to medically lose the weight on my own with out surgery but with no sucess on keeping anything off. i have yet to do the pysch or blood work and i still need to see my doctors dietitian to start the two week pre opt diet. no sleep study and it took 4days from my first apt. but once the doctor approved my apt and sent it to insurance they immediatly can back with an approval. which i was really shocked i thought that they would denie it and we would have to argue but nope nothing.

Edited by carifowler

Share this post


Link to post
Share on other sites

i have done the dietitian thing with my doctor i have been trying to medically lose the weight on my own with out surgery but with no sucess on keeping anything off. i have yet to do the pysch or blood work and i still need to see my doctors dietitian to start the two week pre opt diet. no sleep study and it took 4days from my first apt. but once the doctor approved my apt and sent it to insurance they immediatly can back with an approval. which i was really shocked i thought that they would denie it and we would have to argue but nope nothing.

Awesome congrats :crying: I was really worried that I would end up being denied after doing all the requirements and then have to appeal but nope was good to go first try :crying:

Share this post


Link to post
Share on other sites

Hi! I am new to the process and I also have BCBS MN and I was wondering what steps you took to be approved. I talked to the ins co today and they do cover the surgery but I have to meet certain criteria-BMI over 40(mine is 43). 6 months of being on a medically supervised diet-is this through my primary? I saw you mentioned scheduling your six appts to the dietician. Please help. I dont even know where to start. Congratulations on your approval and thanks in advance.

Share this post


Link to post
Share on other sites

Hi! I am new to the process and I also have BCBS MN and I was wondering what steps you took to be approved. I talked to the ins co today and they do cover the surgery but I have to meet certain criteria-BMI over 40(mine is 43). 6 months of being on a medically supervised diet-is this through my primary? I saw you mentioned scheduling your six appts to the dietician. Please help. I dont even know where to start. Congratulations on your approval and thanks in advance.

I have studied their pages for bariatric surgery in and out and talked to them a million times to make sure I was doing it right. It is 'medically supervised' That means and they list the surgeon, the dietitian, or you PC. So as long as you're seeing 1 of those 1x per month and never miss a visit you're fine. But they have to make notes in your account so you can always call and ask the question.. you can ask them to document the conversation too.

The only catch is they have to weigh you in do vitals and document your weight then they must discuss nutrition with you... thats it :rolleyes2:

I chose a dietitian cause ... I had seen her in the past and liked her.

Share this post


Link to post
Share on other sites

Thanks for the info! And, one more question since you know the ins and outs of BCBS MN. A friend of mine told me that the psych eval is not covered. Is that true? My friend told me that I should go see the surgeon first because they have people that can guide me in the right direction and tell me what I need to do.

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

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • 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

    ×