Anyone have BC/BS?
My DH just informed me that our insurance is changing on January 1st to BC/BS and now I am worried they won't cover the WLS. Since there isn'a an official policy yet I don't have anyone to call so I wondered if anyone out there has/had BC/BS and did it cover surgery?
Thanks, OH.com is great, thansk to MicBrook for mentioning it at the support group!
Thanks, OH.com is great, thansk to MicBrook for mentioning it at the support group!
It depends on the policy his employer purchases. Anthem- like any insurance company has many different policies with different copays, deductibles and co-insurance amounts.
I work for the State of Maine, have Anthem and my WLS was covered.
I work for the State of Maine, have Anthem and my WLS was covered.
Emily SW 320, Pre Surg 271.3, Lowest 189.8 Current 212.9 GW -155-188
Continuing the weight loss journey 10 pound goals at a time. June 2011
I have BC/BS and it covered it. I had to meet the criteria, BMI over 40 PLUS I had2 or 3 co-morbidities so no problem.
It was magic when she realized who she had become...
Kate
Highest Pre-op right after Surgery Current Goal
236 213 219 140 130
96 lbs lost and gone forever!! To God goes the Glory!
Finally it moved!
I have excellus BCBS cuz the company I work for is based out of New York. Same as Anthem I guess thats what all the hospitals and stuff call it. Anyway I have no medical co-morbidities except joint pain and I had developed a bit of urinary stress incontinence after I gained my last 10 lbs but that wasnt documented to the insurance company. Anyway I got approved without ANY problems at all on the first letter. I was 28 at the time and 5'5 and weighed 307 when I started the liquid preop diet. My intitial consult weight was like 280 or something before I quit smoking so thats the weight they submitted.
I know they will NOT cover lapband though, well mine wont they say its still investigational.
I know they will NOT cover lapband though, well mine wont they say its still investigational.