I have BC/BS of AL...I have done everything that was required but they keep saying I have not dieted for 6 months, I have done this with a Doctor supervising, but they keep saying it dosen't qualify but they also won't tell me what does qualify...I have tried going to the Ins Comm. but the problem is I live in WA and they are in AL...so WA is saying they can't help becasue the insurance is in AL and AL won't help becasue I live in WA...

Any Suggestions???

I have BCBS of MN and just received a denial letter yesterday. They stated it because I only had 2 mths of a supervised weight program, but had all the backup submitted showed two YEARS!!! The insurance cooridinator at the hospital appealed on my behalf, and now I'm waiting for an answer. It's so frustrating.:biggrin:

I have Keystone HealthPlan East (BC/BS of PA). It's a PPO plan and the requirements are the same as the Anthem one. My surgeon said that the approval process is pretty quick and easy with them (God I hope that's true!) As long as I do the 3-month pre-op plan with the nutritionist and behavioral therapist, I should be fine (so they say). I have heard different things from state to state about BC/BS, so maybe the requirements vary by state?

Good luck and DON'T GIVE UP!!!!!