BCBS of Az
I have a friend starting the process. Obviously I told her to call her insurance but does anyone know how much BCBS of Az typically covers? The insurance is through her husband that works at a hospital.
Also, does anyone know if they require the 6 months?
I will take any helpful information you have on BCBS of ARIZONA. :)
Thanks guys!
I looked into havng Blue Cross of AZ cover my surgery. They would only cover it if you had been under a Dr. care and seeing a Dietitian for 6 months. I decided not to wait the 6 months. Who knows how out of control I would be by then? I had my lap band almost 1 month ago, incidently by Robin Blackstone MD. Going for the first fill Friday, a little nervous, but I hope it will be ok.
Good luck!
I think that a lot of different policies have different qualifications. But I have BCBS of AZ and some of my qualifications are:
* 6 month supervised diet
* 3 years worth of records of doctor-supervised dieting attempts
* Doctor documented evidence of co-morbids for those three years
* 5 years of continuous records showing that you are BMI > 40
* Psych Eval (including MMPI)
* 2 independent doctor's recommendation that you are a good candidate for this surgery, these docs cannot be associated with one another or with your surgeon
* blood workup
* 18 years old at least
The six month supervised diet was simply a case of my visiting with my doctor, discussing attempts to diet, him offering me pharmaceutical solutions and I accept/decline. With six continuous months of records it was great. I never saw a dietician. I showed no efforts at a gym
The three year's worth of doctor supervised dieting attempts was a problem for me. I had records for 2007 when I first applied for the surgery, but no other years. My doctor assured me he had records of our dieting discussions in 2006. After our visit on Jan 4, 2008 I had records for 2008
I didn't have 5 years of evidence of my BMI > 40... I was missing one year due to not seeing a doctor that year. Even though my BMI was 45 - 60 on all other years, and the eight years prior to the missing year, they said that wasn't enough. My Jan. 4 visit made for five year's documented effort.
My first application was turned down for lacks in the three issues above. They did not tell me for the first three that I needed the six month supervised diet. After I did the six month supervised diet and submitted the record of that, they approved me in approx. 4 business hours.
Remember, every policy can be different. Also I've heard rumours that as of January they ditched the 6 month supervised diet. Having gone through it, I really think it's a good plan. I know that what I did during that six months really made a difference to my readiness for this surgery.
~Lady Lithia~ 200 lbs lost!
March 9, 2011 - Coccygectomy!
I chased my dreams, and my dreams, they caught me!
I too am a BCBS patient. I started the process last October, but was called in December by Dr. Blackstones office and informed that as of 2008 they no longer required the 6 month program (I was in month 4).
What they do require:
- proof of obesity for 5 years (I provided a proof of weigh in from my PCP from one apt over the last 5 years).
- Letter of neccessity from at LEAST PCP (I provided I think 4 letters)
- Documentation of past weight lost attempts
I think that was it. Best of luck!