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Blue Cross Blue Shield FEP ????



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I am helping my brother through this process (I have Tricare and am approved for surgery July 13)... he has Blue Cross Blue Shield FEP (Federal Employee Program). Does anyone know if they cover lap band? Does anyone know know where I can find info on their requirements if they do? I went to their website and was unable to find the info he needs.

He has spoken to a surgeon who sent him to a nutritionist to lose some weigh first. Right now that is all he knows or has done. I also sugested he jointhis site:)

Thanks for any info out there!!!

-kat

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Yes they do, and you don't have to wait 6 months either. I just got my date and I have bcbs and have to wait 6 months, but my surgeon said with the fed. ben. program you don't.:smile2:

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Yes, bcbsfep does cover the surgery. I started the process with a seminar in Feb, on the 16th of July the paperwork was sent in to bcbsfep and was approved on the 19th. My surgery is scheduled for the 27th. I have Standard Option. You can find the info about coverage in the bcbs Service Benefit Plan 2009 booklet that is sent to all persons enrolled in bcbsfep. It is on page16 &52...hope this helps

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I have BCBSFEP. You can also look on their website fepblue.org to find information on services covered. You will need to know if your brother has standard option or basic option. I was submitted on 6/30. I spoke to someone on 7/2 at BCBS fed and they said that it should go through pretty quickly. My surgery is tentatively scheduled for 7/17 (still waiting for approval and have to do upper GI).

Good luck to you and your brother!:smile2:

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I also have bcbsfep and I was covered at 85% and a requirement of theirs is 23 hour stay in the hospital which means overnight. One thing I wanted to mention is I still had to pay an adminstrative fee to my surgeon which was $1,000 out of my pocket so be advised he may have something like that. It covered all of the paperwork for the health insurance, pre-approval etc.(I didn't have to do anything) and my Protein Shakes and all my Vitamins, etc, etc.

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I have fepblue- It seems to good to be true with the no waiting and ease of it all? Its kinda of sinking in now that I have my first dr visit this thurs. OMG! lol

(I am new here)

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I have fepblue. They don't require a 6 month diet but like to see that you have attempted in the past to lose weight. They have paid for all of my testing with the exception of $20 co-pays. The billing insurance specialist from the hospital called and told me that she had submitted the papers right before she called. Two hours later I called blue cross to check on something else and they told me that I was approved for surgery. That was really quick. They said they were going to pay 85%. I am scheduled for surgery Oct 20.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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      Officially here for a long time, not just a good time💪
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