Question regarding insurance :eyes:

Has anyone had any issues with Anthem with regard to pre-op treatment. I've been to see the nutritionist (1st visit) and Anthem is saying that this is not a covered expense due to the fact that it is related to weight loss. I spoke with the cs rep and she indicated that the surgery itself is covered, but nothing else. I asked for a copy of what she was reading and she said she would send me the Anthem Medical Policy. Certainly, I see in the policy that the gastric bypass appears to be covered if it is medically necessary, but I do not see anything relating to whether or not the pre-op stuff is covered. If anyone has any insight, recommendations, etc. I would appreciate it very much. I meet with the surgeon on 05/14/04 and I want to make sure that this is not going to be a problem.

Okay - so the picture didn't quite work - I was going for the rolling eyes emoticon. Oh well.

I have BC/BS Fed, the card has the word Anthem on it, but I have never called it that. Anyway, my insurance covered it all because it was part of the "things" my surgeon required. Of course I do have PPO, that could make a difference, I never need referrals. Good luck! Theresa

Hi Elizabeth, I have Anthem BC/BS and the only pre-op requirement I had was to see a nutritionist. I did need a referral but in addition to the surgery, they put down that I had high blood pressure, anemia, etc. and Anthem covered it fine. They also covered visits post op with the nutristionist. Hope this helps. Sue

who did your psych eval? I've been thru the ringer with Anthem. Was approved immediately last year now have re-apply and it's a nightmare!! one love, Kelly