Anyone with Anthem Blue Cross Blue Shield Century perferred?

Leandra Lee
on 9/30/09 4:26 am - Plantsville, CT

Hi all... just wondering if anyone was approved with this insurance?  And if so how much documentation did you have.
Thanks

Bev_M
on 9/30/09 5:12 am - Shelton, CT
Lap Band on 05/21/07 with
I have it through my husband's work.  My lap band was done May of 2007 and they paid for all of it.  We had a little hiccup starting in the January where they said they weren't covering my fills, but that got worked out and they do pay for them.  My husband's work had their co-pays increased and there was supposed to be no changes in coverage.  They tried to sneak that in but got caught.
I got all the testing done that my bariatric surgeon required.  I also had been going to my primary care doctor for six months before about my weight so that it was on record.  My PCP was a big advocate with the insurance and wrote letters recommending I needed weight loss surgery.
I don't know what may have changed in two years.
I got the procedure code and called Anthem BCBS to make sure they would cover it.
Good Luck,
Bev 


Leandra Lee
on 9/30/09 10:10 am - Plantsville, CT
Thanks Bev... just courious with this insurance they don't specify a specific amount of time for documentation.  When i called the insurance company they said it up to the Dr's to review the file.  So i only have 3 months of history. I praying that i will get approved.  What do you think?
Bev_M
on 10/1/09 1:11 am - Shelton, CT
Lap Band on 05/21/07 with
I'm pulling for you!  I hope you get approved.  I had a lot of co-morbidities - high blood pressure, type 2 diabetes, sleep apnea, high cholesterol, etc.  I think the more health problems you have related to obesity the more likely you'll get approved.
I was told afterward that I didn't need the six months of PCP documentation that I was seeing him for weight problems.
Let me know when you've got a date.
Bev


Leandra Lee
on 10/1/09 1:16 am - Plantsville, CT

Thanks! 
I actually have a date of October 20th... starting my liquids on tuesday.  i just hate this waiting game with the insurance co.  I hope i'm not doing all of this then getting denied.
I will let you know the outcome.

Lee

Marci M.
on 10/21/09 12:11 pm - Westbrook, CT
RNY on 12/21/09 with
please post when you are approved.  I called today to check with Anthem today, I also have centrury perfered, and was told it was covered 100%, no records were needed with the exception of a record of diet attempts.  ??? I am curious
Bev_M
on 10/2/09 5:11 am - Shelton, CT
Lap Band on 05/21/07 with
It took a week for me to hear of my approval.  Good Luck.


klceskie
on 10/23/09 12:17 am
They were great with my VBG. I heard within a week of the approval.  All I needed to submit was the psych report, the nut. report and a letter from my primary care physician.  Good luck!!
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