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Hello from the San Jose, CA

Well, I'm getting started. I want to do this so bad. I've contacted my Dr. and will be seeing him soon to start the process.

How is it getting qualified and approved by Blue Cross Insurance?

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I have blue cross of CA (now known as Anthem of CA). I had no problem getting the prior-auth. And as soon as I was done with all the pre-op tests and evals, it just took a couple days for my auth to go through and get approved. You just really need to do your research and find a Dr. who is in-network, and uses a facility that is one of Blue Cross' "Center Of Excellence" (COE). The Blue Cross COE standard is probably the most important if you want to go through insurance. I went through several surgeons before I found one that was up front and honest about their facility. Eventually I just started calling bariatric surgery centers and hospitals in the area to find out if they were a BXCOE and then asked which Dr. did their bariatric surgerys. Thats how I found Dr. Billy. He was also recomended on the lap-band web site. Otherwise Blue Cross will not pay anything. And Blue Cross of CA is terrible about paying for the after care. My Dr. just charged me a "fee" and that covers all the follow-up care for my procedure.

Hello there, I'm in California too...also with Blue Cross I'm just starting my process, I go in for my consultation on July 11th. I too am hoping for a speedy hurdle free approval.

Hoping all goes well for you.

  • Author
Well, I'm getting started. I want to do this so bad. I've contacted my Dr. and will be seeing him soon to start the process.

How is it getting qualified and approved by Blue Cross Insurance?

That is good to know. How long ago did you have your surgery? Are you happy you did it?

  • Author
Hello there, I'm in California too...also with Blue Cross I'm just starting my process, I go in for my consultation on July 11th. I too am hoping for a speedy hurdle free approval.

Hoping all goes well for you.

Same to you. Let me know how it goes. Good luck, God Bless and I hope you have a safe surgery.

I live in Gilroy and went to Doctor Robert McKeen . He operates out of Good Samaritan Hospital in San Jose. He was out of network for me so I had to do an inclusion with United Healthcare since there was no surgeon 40 miles from my house.

  • Author
I live in Gilroy and went to Doctor Robert McKeen . He operates out of Good Samaritan Hospital in San Jose. He was out of network for me so I had to do an inclusion with United Healthcare since there was no surgeon 40 miles from my house.

What is an inclusion? Was Dr. Robert Mc Keen good for you?

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