anthem blue access ppo

tammy_moore
on 3/28/09 3:00 pm
Anyone approved with anthem. bmi of 37.4 and sleep apena
RackeSRN
on 3/28/09 11:11 pm - Florence, KY
YES!  I have Anthem Blue Access PPO (KY) and I was approved at a BMI of 37 and obstructive sleep apnea.  HOWEVER, I had to appeal twice and request a peer-to-peer review with my physician and the Anthem PPO physician.  It was not easy, I had to hoop jump but I did get it done.  MAKE YOUR APPEAL about a person, not about why they should pay for the procedure...make it about YOU.  PM me if you have more questions.
tammy_moore
on 3/29/09 10:24 am
Thanks at least now i may have a chance i was about to give up before i even got started
RackeSRN
on 3/30/09 7:07 am - Florence, KY
Be very familiar with their policy which you can look up on line at anthem.com and sign in.  There is a local policy for the PPO that has all the details in it.  If you are familiar with the policy you can write a better appeal.
Sonja
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