BC BS of Illinois??

I have a friend that is considering WLS. She has BC BS of Illinois. Does anyone know what kind of things they require before surgery? She is 5' 5'' and weight 320 pounds. Thank you Dawn

1 year of medicaly supervised diet. Juicy

Depending on if it's a HMO or PPO they require different documents. I have HMO and I can't stress it enough, it's not the insurance company that approves or denies the surgery, it is the medical group you belong to that makes the decision. Not so much a medically supervised diet but medical records that show that her weight was discussed on many occassions. If she has any comorbidities that have been documented. I have a very good relationship with my PCP and he was wonderful in assisting with all the necessary paperwork I needed. Laura 266/204/125

She does have a PPO and her doctor actually suggested that she look into it. She has a documented history going back 5 years with her doctor. Thank you for all your help. ((((HUGS)))) Dawn

I have BCBS IL PPO, I have gathered everything they require and sent it in. I am nervously and anxiously waiting for approval!!! They have a great website that has everything they require: http://medicalpolicy.hcsc.net/medpolicies/disclaimer Click I agree, then I think it's medical policies, then WLS.. They do require a 12 month supervised diet and comorbid conditons. I am hoping a praying that I know something by the end of this week! I also went ahead and sent all my medical records from the last 5 years because they did state that on there. Everything from infertility to foot problems - I figured the more the better! Good luck and I will post hopefully soon to say I've been approved!!!!!! Michelle