MN Care Approval?

Anyone here have Blue Plus through MN Care. Im waiting for approval and am wondering if they are hard to get approval thru. My BMI is 36.8 plus I have high blood pressure. Do you think it will be covered? I just finished the 6 monthly meetings with the nutritionist. Thanks for any opinions or input.

Yes I have Blue Plus/MN Care.  It took about 2 weeks to get approved.  I had a BMI of 35 when I got sent in for approval.  My co-morbidity was unique though.  I had a rare condition.  You didn't go into specifics about your BP.  Is it controlled by meds?  Do you have any other issues?  I do know that Blue Cross may not approve if you only have the BP problem and it can be controlled by meds but don't let that stop you from trying.  Even if for some reason you would get denied, you can always appeal.  It really helps to have a letter from your PCP and the surgeon.  My PCP and surgeon wrote wonderful letters for me to put in with my paperwork for my approval.  Good Luck!  I wish you the best!

Jessy

Yes my BP is controlled by meds. My mom had a severe brain aneurysm at age 49 from her high BP that was also controlled by meds but suddenly got out of control one day. Then she had 2 strokes leaving her with "Locked-In Syndrome." She is 100% paralyzed including her voice. So she can't move, talk or eat. But her mind is 100% intact. It's sooooo SAD. Im scared of that happening to me as it CAN be hereitary! I also have PCOS, severe GERD, asthma, and hypothyroidism. I have surgery scheduled for 3/29 so hopefully it goes thru. But if not i'll have to appeal. My PCP and surgeon also wrote letters. Thanks for your help.

I have mncare as well...and I went through the whole process to find out mncare has a cap of $ 10,000 for inpatient procedures. However, if youre on MEDICAID it should be covered completely because thats state bit federal. The problem is that when the person who verified my insurance pre approved me she only looked up medica, not the fact that I had medica through mncare. Medica would cover the surgery but because it's being supplied through mncare which is federal vs state, they have to follow the federal guidelines by capping things at $ 10,000. It drives me crazy and I've been looking for a loop hole but have had no luck