blue cross blue shield

ok i work at bancorpsouth and we use Cobra Benifits but we go throught blue cross blue shield of ms.....i know that i am covered for weight loss surgery because of this but i do not know if they require a 6 month diet before hand.....so if anyone knows the process when dealing with BCBS of Ms can u please reply and tell me...thank you

It's been a few years since my research of BCBS of MS....but I checked into it on several different occasions (changed jobs...still had bcbs of ms...)  they had an exclusion clause that specifically forbid coverage of anything related to weight loss (so they wouldn't cover surgery, pills, exercise, or anything similar...even with doctor order)  So good luck if you can get them to pay anything!  please let us know how it goes. mary

yeah i know they usually don't cover the surgery but because i work for bancorpsouth that is the ONLY reason  why i am covered for the surgery now....but i will let ya'll know how this process goes from the stories i heard about them i am really nervous

I have BCBS-Highmark ins all I had to do was call coustmer service they told each item that was  required and the paper work need to support my statements. I had to do 6 mo diet,phy eval,nut cousling, and exersice program with trainer.  t took me from August 06 till March 07 to it all there requirment mmet. I had surgery (lap r-n-y ) in May 07.  If you keep in contact with Becky  Wilson and let her  handle the paper work with ins you will probly not have a problem. She knows how to word thngs they way ins like them and how to push the paperwork to the right place for fast approval.  She  saved me a lot of hassel.  IT TAKES TIME AND PATINCE THAT'S FOR SURE    Iwanted surgery right way but was forced to go through the system. I had surgery May 07 and have lost  65and lost 40lbs on the diet exercise program which makes my total 105 lbs in a year. For me it was the best thing i've ever done .  All I will say stay the course  you won't regret it.

It just depends on your policy.  Each policy is different.  If BanCorp South chose to cover it, they still have different options.  I will look at the BanCorp South policy for you. Adam

The surgical treatment of morbid obesity is considered eligible for coverage for morbidly obese patients whose Benefit Plans indicate specific coverage for these procedures and who meet ALL the following criteria:

1. The patient must have a BMI of 40 or greater, or 35 or greater with documented hypertension, diabetes, or hyperlipidemia; OR be at least 100 pounds over or twice the ideal weight for frame, age, height and sex specified in the most recent Metropolitan Life Insurance Table;
2. Documentation that the condition of morbid obesity has been of at least five years duration;
3. Failed attempts at weight loss have been documented; and
4. No treatable metabolic cause for obesity, such as adrenal or thyroid disorders

BancorpSouth C427, C445, C458, and C550 contracts cover Medical Management and Surgical Treatment. (added 1-9-2001)(revised 2-2-2006) BancorpSouth C427, C445, C458, and C550 contracts will cover Lap Band effective 1-1-07. (added 1/9/2007)

Hey Soror, I have BCBS of MS but I have the kind with the specific exclusion.  Sorry I couldnt be much help to you but I had to give some Dove Love to you!  Be Blessed and Keep me informed on your progress!