BCBS Question

I know I have read somewhere that BCBS PPO changed its guidelines saying that you only need 6 months supervised diet instead of 12 to be eligible for WLS. Is this familiar to anyone? Do you know where I can get the info? Thanks!

You can gain this info from the BCBSAL website. https://www.bcbsal.org/health/important/bariatric.cfm

Hi Nancy, I have BCBS of Delaware, PPO plan and with this you only need six months of documentation. You should call your plan and request a copy of their requirements, I believe each plan is differant eventhough they are all BCBS. But they would be able to tell you.

I was denied approval because my nutritional therapy diet was not low calorie enough. Lucky enough I had joined Weigh****chers and could provide additional proof of my last attempt to lose weight. I did receive my approval. Good Luck

Hi, I have BCBS through the Teamsters, which according to our benefits person follows the same guidelines as BCBS of Michigan, and just found out last month that they have changed the requirements to 6 months. I was going through the 12 months of supervised diet and missed Decembers appointment, so I called the Barix clinic to see how that would affect my schedule. I was pleasantly suprised when they told me of the change since I already had 6 month before I missed the appointment. After that it was just a matter of getting my psych eval (finished and sent to Barix), and getting scheduled. I would call BCBS of Mi and make sure though. Mike