hubbys insurance is changing

My Hubbys job is changing insurance. From Aetna to BCBS. It starts Jan 1. Now I know the surgery was not covered under aetna. When his work had a meeting and someone came in to explain it all he specifically asked about the surgery. The woman stated she doesn't believe it to be a covered surgery but should be covered under the most a patient has to pay thing. has anyone ever heard of this do I see a glimmer of hope. Here is crossing my fingers. Robin

I had anthem - blue cross and they paid for mine all but 500.00. I had the traditional-II plan. Mariah

I also had anthem BCBS and mine paid all but 250.00 to the dr and about 2000.00 to the hospital.. that was good i thought considering how much it cost to have the surgery any way.. isnt it about 30,000.00? I was also approved in less than a week after my Dr submitted my paperwork. Carla

I have BCBS traditional 11 I was approved quickly also. I do know that they are changing the plans some so it may be harder... make sure all your ducks are in a row... make sure you have your proof of supervised medical weight management.. ( I had 18 months trying with Dr Piateck) It wasnt required but something I just HAD to try before going thru the surgery... Didnt work... sigh.. I would go thru the surgery again in a heartbeat!! IT WILL WORK!! Linda

Great! I had BCBS (anthem ppo) all you need to do is prove that it is medically nessesary and you are in. (For me anyway) I had reached my out of pocket max june of that year and so when I had my LapBand surgery it was paid 100%! The only problem I had was I had to ask the right questions and the big one for me is Morbid Obsity is NOT screened for pre exsitsing conditions so it will go through if submitted. Also a good thing to have are the billing codes. Your doc can give them to you. SO when you call you can give them the codes they type it right in and they will tell you what you need to have in order to get approval. They are nice to you for the most part. The whole time I only got 1 rude rep. I didn't need a psyc or a sleep study or any of that. The ins. gal at my doc just put together a packet and sent it in. They origanally denied me b/c my BMI was to high but they didn't know I had lost 40 pounds and all I had to do is go in for another weight and height check and they resubmited my info and I got an approval within 3 days. Good Luck and congrats!!!