second time around
this is my second time trying to have this surgery done. thie first time I had aetna and keep getting the run around everytime I gave them the info the wanted the keep wanting more and i finally gave up
Now I have BC/BC of florida hmo and see my primary on march 16 to try again. I am 5'2 285 with a bmi of 52 been this way for years if anyone has any suggestions of how I can get this pushed through with my insurance I would be greatful. thanks angela
Angela, Can't swear to it but you need to have 6-12 mths supervised weightloss attempt. I have BCBS PPO and was approved in 2 days after all information from surgeon's office was faxed. It goes to the same medical review board I do know that. It also depends what your policy reads for WLS.I haven't got a date yet but it will be in March either 1st or 2nd week. Any questions you can e-mail me. Do you happen to work with a Judith ?
Nancy
I have BCBS FL PPO and was denied the first time in November 2003 because I did not have documentation from my PCP proving 6 monts of consective weight loss attempt within the last 2 years. A few weeks ago I submitted the paper work they required and was denied again. This time they say because I had gastropasty in 1986 they won't cover it.
Hopefully things will go better for you but make sure you have documentation from your PPC.