BCBS AL Help

My compnay for some reason uses BCBS of Alabama even though we are in NC. Was just trying to find out if anybody had any expereince with them?

From my exp with BCBS AL they require a 6 month supervised diet that can not be supervised via your bariatric surgeon. It's best to do it through it your PCP. Best of luck!

I just received approval for lap RNY last week. I had to have a six month diet history which actually includes an initial visit, then six monthly followup visits. After submittal I had approval in 3 weeks. The official line is that they have 30-45 days to complete the medical review. After you send in your paperwork, call the customer service representatives to be certain they have received and logged into the system (took about 4 days for me). That way you will know when your days start to count. I found customer service to be very helpful and I was a pest. Teresa

Thanks, this whole situation has been frustrating because I have Aetna now but will change to BCBSAL Jan 1, so I have been following there criteria since July.  So luckly I have already been seeing my PCP every month since then. So Im hopin January 1 they will be ready to submit my paper work.

Hello! I too have BCBC of AL and have been denied twice.  I have five co-morbidities (they require two) and have had a BMI of 41 (they require 35 with co-morbidities).  Several attempts at weight loss lowered me under the 35 BMI briefly.  They denied me because I did not have a consistent BMI of 35 during the entire time.  I cannot wrap my brain around their logic.  The attempts at weight loss prove why I need this surgery b/c I can't keep the weight off, I always gain it back. I am scheduled for WLS on Tues (11/20) and am self paying.  I am not going to let some strangers at my insurance company make my medical decisions for me.  (Even if I have to sell my car).  After I'm better, I am going to hire an attorney and fight them.   I wish you the best of luck and hopefully you will not have the same problems that I have. SunnyT