Surgeons office call BCBSM PPO and they say 12 mo diet?
http://ereferrals.bcbsm.com/docs/BCN_referral_chart_07.pdf
If your BMI is over 50, then the 6 month diet is wavied.
What you have to do is call bc (number on the back of your card)... specifically request this
"I need you to mail or fax me the criteria for weight loss surgery as it pertains to my coverage, I also want to know if this is a covered benefit under my plan".
You may need to speak to a supervisor. This is what I did because the rep on the phone didn't know if they could mail it out. They can and the do.
My surgery (1/2/08) was covered and the diet was waived because my BMI was 50.9
H/C/G: 298/170.4/160 (H=5'5) @ Dr's goal 5/23/2012. Revison surgery 5/26/2011 convert from band to bypass due to slipped band.
RNY on 12/18/12
Thanks everyone for your help. I will be calling the number on Monday and requesting the information. You've all been very helpful.
To answer the question about what state, I live in Indiana but have BCBS of MI ppo. I'll keep you all updated as to what happens from here. Thanks so much!
Is BCN the same as BCBSM (PPO)? I looked over the chart, but it says it's for BCN HMO.