Blue Cross Blue Shield of RI

gayle74
on 9/7/09 2:59 am - Allenstown, NH
Does anyone have Blue Cross Blue Shield of RI?  If so did you have any issues with them for approval?  I am from New Hampshire, but my issurance is from RI - My doctors said they never have issues with BC/BS, but they have never dealt with them from RI.  So any heads up would be greatly appreciated!!  Thanks in advance.
deb_t
on 9/7/09 3:12 am, edited 9/7/09 3:14 am - RI
I've got BCBS RI (Healthmate, to be specific, which is the PPO), and was approved in something like 36 hours.  Their bariatric surgery policy is on their website.  I used to have the link -- can't seem to find it anymore.  Log in to it and see if you can find it.

ETA:  Here you go:
https://www.bcbsri.com/BCBSRIWeb/plansandservices/services/m edical_policies/SurgeryforMorbidObesity.jsp
Debbie 



Includes 47.5 lbs. lost during 7 month pre-op period
sandpan
on 9/7/09 8:26 am - Warwick, RI
Hello there.  At the time of my surgery, I had BC/BS of RI through Lifespan.  The staff in Dr. Sax's office who do all the approval and scheduling work told me they usually have very good luck working with BC/BS and indeed they were right.  I had approval within the week of when they submitted me.  I also found calling customer service directly when I was just exploring the option of WLS was positive.  Even at that early point they were able to tell me I would be approved.
Best of wishes on your WLS journey.
~ Sandy


Cynthia E.
on 9/7/09 11:31 am - Cranston, RI
 I had BC/BS Blue Chip and had no problems gaining approval.  I had notes from 3 Dr.s recommending the surgery.  It was approved right away.

 
momof2b1g
on 9/8/09 1:34 am - Warwick, RI
I have BCBSRI also. I have found that it depends on what type of surgery you are trying to get. I have been fighting for a VSG and I have been denied various times. I am now trying for the DS and I am waiting to see what happens.

Good Luck!
Tiffany
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