Question for Fed Employees

honeybare
on 8/24/09 12:52 am
Hello All,

I am in the process getting approved for WLS. I tried this before back in 2006, but then I got pregnant....fast forward to now. Okay, so I called my insurance which is BCBS, and they explained that in order for appoval I all needed was information from my surgeon, and I assumed that was because I had changed to a better insurance company. Last time, I saw Dr. Paul Lin, and I was really comfortable with him, and I called this morning to see if I could get an appointment, and the intake lady told me a thousand things I needed to do, and all this other stuff that I was told I wouldn't need. She told me I needed a pych eval, and referral from my PCP, and all this other stuff,  which the actual insurance told me I didn't need. She told me I'd have to go to a class before I could see Dr. Lin, and before they could check my insurance, which I think is backwards.

I was wondering if any other Federal employees with BCBS PPO had these problems. If not, fine, I'll leave it alone and go through the motions, however I just want to make sure I'm not doing unnecessary work.

Thanks in advance!
Kris H.
on 8/24/09 2:03 pm - Columbia, MD
Do you have CareFirst Blue Choice?
Slinkster
on 8/24/09 10:47 pm
Goodmorning...I have BCBS fed...only needed to be 100 lbs over weight according to insurance company....I think its more the doctors that wanted the other info...seems they all do, I guess to make sure you are mentally fit and  totally sure you want the operation...but Insurance wise...it was  just 100 lbs over weight...mine approved in less then 10 days...BCBS is very easy to work with, Good Luck you'll be fine just go through the motions, its abit of a pain but well worth it!
strawberry28
on 8/25/09 9:57 pm - somewhere, MD
yeah I also have BCBS Fed and it is easy to get apporval, but the doctors now require a few things, some more than others.
julie16
on 8/25/09 10:20 pm - crofton, MD
Ok can I ask what they require now? I am curious as I have heard they approve wls very quick..

                                                                                  Julie
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