blue cross/shield ppo of mass

Lisa42
on 2/6/06 10:14 am - Ludlow, MA
can anyone tell me how and what they had to go throu with this insur: blue cross/sheild ppo of mass. what were their rules: did you have to wait and do a diet to loss some weight, see a phys dr, or nutri eval I had been supervised about over 6 years ago on phen fen, is that enought for the insur to apprv for gastric surgery? i put the weight back and then some, my bmi is high.
Kitcat
on 2/6/06 10:40 pm - Boston, MA
Lisa, I have BCBS PPO (Blue Care Elect to be exact) and had RNY at Mass General Hospital this past October. I had no problems getting my RNY approved, nor did BCBS require any supervised diets in my case. The one snag I ran into is that my approval came through the day before I was scheduled for surgery. But that was due to a delay on the hospital's side of things, not BCBS. If you are interested in reviewing BCBS policy 'rules', as I was, you can get a copy on the internet (google BCBS of MA 2006 WLS guidelines) or call BCBS of MA and ask them to email you a copy. Best wishes, Lynn
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