Bc/Bs of Ga

Jo G.
on 8/10/04 7:00 am - Hollister, FL
I'm looking for information about the approval rate of BcBs of GA. I'm from FL and BCBS will not be covering the surgery after Dec if florida. My insurance is thru my company out of GA and I havent received any policy information yet. Please let know your experiences. Thanks
Ms.Judy
on 8/10/04 8:50 am - HOSCHTON, GA
I'm with BS/BS of Ga. The doctor sent in my infor on Dec. 18 . Three different times they said they didn't have all my stuff. I called them and the doctor's office several times a week and finally got approved March 10, 2004. I had surgery March 31 ST. Good luck ! Judy
Kathy H.
on 8/10/04 9:31 am - bethlehem, GA
I have this insurance through State Merit. I know of several people who have been approved, with usually no trouble. I am just getting started, but this is what I found out so far. You will need: -a thyroid profile (your PCP can do this in the office) -a letter of medical necessity from your PCP -a letter of surgical clearance from your PCP (this can be in with the other letter.) It will include any test your PCP wants you to have. -3 years weight history -5-6 nonconsecutive months of SUPERVISED diets in the last 1 to 5 years. This includes anything your doctor has told you to do with dieting, like prescriptions, atkins, WW, etc. Also it can include Jenny Craig, etc. It just has to be given by a doctor or registered nutritionist. I got a copy of my records, and went through them all. Any time the doctor mentioned trying something new, I used that. Like, one time, he suggested the Atkins. I did that for two months. Also, at least 100 lbs overweight. A BMI of 35 of more with co-morbidities, or 40 without them. I think that is it, or at least all I can remember. I am going ahead and getting a sleep study, since I know my surgeon will require that. I would say, get your PCP to do the blood work, run an EKG, and get any tests he/she wants you to have to clear you. Also, start gathering your medical records from all doctors to get your dieting history. I hope this helps! I will be thinking of you. I hate the hurry up and wait game. Since I have decided to do this, I am terrified they will quit paying for it before I am approved. Hang in there. My friends were approved within 4 to 5 months of the time they started everything. Take care, Kathy
modeanryan
on 8/10/04 12:43 pm - Duluth, GA
Hi Jo, The infi Kathy gave as requirements is very good. And like Judy, they "lost" my info once. However, once it was confirmed it was received, (and a phone call from me) I was approved in one week. From there, it was just a scheduling matter. Best of luck to you!!! -Tami
NAT
on 8/11/04 3:27 am - Atlanta, GA
BCBS OF GA WITH BELLSOUTH AND WAS APPROVED IN 2 DAYS ONCE MEDICAL REVIEW HAD MY INFO. WAS TEMPORARILY LOST (lol yeah right) but after that was a breeze and you would be surprised how many people in my work location alone had the surgery and was approved right aways. NAT
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