Insurance questions BCBS

I am just now exploring the surgery, but I do not know if I qualify.

I know that you must show a three year record of obesity. Almost two years ago, I starting working out like crazy and lost 50 pounds, sending me to 275 and below the required BMI of 40. I broke my back and shot back up in weight. When my doctor shows the records of obesity, does he have to show them every weigh in, or just an instance of obesity levels over three years (one per year, two per year, all?)?

Please help if you know the answer. I am really anxious about the process and don't want to get my hopes up if it won't happen. Thank you all for your help.

You may want to call your insurance and get some clarification. For my insurance I had to show records for over two years of being over 35 BMI and 6 months of Dr supervised weight loss and the numbers.

Now some require a BMI of 35 with two comorbilities or a BMI over 40 with no comorbilities

Good luck!
Noel

Thanks for your help. When you had to show your records, did you have to show a record of every visit over the past two years?

Mine was with BCBS of AL-I had my ob/gyn pull my last 3 annual visits which recorded my weight...and they took that-3 "snapshots" -one for each year.

Kim

Kim,

 Thanks so much for sharing. I have a blown disc in my back, and I a can't exercise like I use to to get the weight off. I feel I need the surgery, but I expect BCBS AL (PEEHIP) to put up a fight. Any advice you guys could give would be greatly appreciated.

I also have the same insurance you have. I had to go back 3 years for medical history, and do six months of a supervised diet/weight plan. I qualified with the pre-existing morbid conditions.I had no problems with paperwork them and was approved almost immediately! Good luck, and I'm sorry about your back issues. I have arithritis in my back, so I feel your pain,

I was just browsing through and ran across your post.  It was a blessing!  I have just completed my 6 month (really 7) supervised diets and my paperwork was submitted on Tuesday.  I am on pins and needles.  Just waiting on Peehip to reply.  How long did it take to get your approval?