anyone with Highmark BC/BS

I have an option of getting highmark BC/BS through my husbands insurance in Jan. 2010 with open enrollment, right now I am still on Medical Assistance following having my son. I was wondering if WLS is easier to get through highmark?? also would like to hear about the process.. from getting a referal to getting the surgery done.. thanks a lot!!!

YOu need to check with the benefits admin. person at your husband work to see if it is even a covered service. Not all plans allow it. I do know that, as an insurance company, they pay for it but only if your husbands employer allowed it as a covered service.


JenO

thanks!  I know they cover it... well did last year. Because a woman that Jeff works with had it done with there company insurance.... just wonder if bc/bs is easier to get approved than access.. and if i choose highmark bc/bs what the WHOLE process would entail... start to finish lol..

I have bc/bs it covered everything 6 mths nut. visits all labs  ICU  everything my total bill was 154.00.....good luck

you will really need to check with the employer.....different companies can all carry different plans of highmark bc/bs and not all will cover WLS.    In other words,   BCBS for somebody working for company A may not have the same coverage as someone working for company B.  It really depends on the company that your husband works for, whether or not they have "purchased" coverage for wls

I have highmark bcbs and i am happy so far.I t is ture that the policy may be different. I wanted to tell you though that i know somebody that had surgery with MA that lives near you and she had a hell of a time . I dont have any advice on that though . Because those plans are not always the same either. good luck

I have Highmark. The main requirement is 6 months consecutive nut. visits showing weight loss 10%, and the regular stuff, psych visist, etc... I have co-pay too
Good Luck