BCBS state group
Hi all I am new to OH and have a question. I have my consultation with the doctor tomorrow about having WLS . I currently have BCBS and have been told in the past that they do not cover it, I have called BS and State group to verify. Well my boss who has the same BSBS as I do just got approved for RNY his surgery is in 6 wks. with the same Doctor that I have my appt. with tomorrow. Him and I both a about the same problems, but I also have bad knees, sleep apnea, and a BMI of 49.
I am just wondering has anyone else had success with BCBS on gettting approved?
My fingers are crossed, prayers needed for my approval reaching out for much NEEDED prayers! thanks
I am just wondering has anyone else had success with BCBS on gettting approved?
My fingers are crossed, prayers needed for my approval reaching out for much NEEDED prayers! thanks
louisianagirl09
on 3/16/11 5:47 am - Lafayette, LA
on 3/16/11 5:47 am - Lafayette, LA
BCBS of Louisiana has an exclusion for bariatric surgery. Unless you have a self-funded plan there is no coverage. The state group has no coverage so not sure how your boss got approved.
No I was not approved. Well actually when I went to the Doctor the nurse never called me back, I called them and she told me that it was an exclusion on my insurance that it would not be covered. I asked if she turned in the paperwork to the insurance and she said no, with an exclusion we don't send in any paperwork. I was very upset at least they could have sent it in and got me that denial letter so I could fight something,
I have had several people tell me that it was excluded on their insurance, but the doctor wrote a letter of necessity and it worked and they were approved. Still trying to find a way.
I have had several people tell me that it was excluded on their insurance, but the doctor wrote a letter of necessity and it worked and they were approved. Still trying to find a way.