TRS Active Care BCBS

Has anyone been approved without a 6 month medically supervised diet by TRS active care after April 9th, or know of anyone who has? Just curious as to how hard the changes have hit TRS members. I am absolutely panicd to say the least that I won't be approved now. Thanks, Morgan

I am on TRS ative care and you better get in ASAP because I am with Scott and white and this is the last year they are paying for it.. GOOD LUCK PEACE

When did TRS receive your letter from your surgeon and when were you approved?

all I had to get was a referral from my PCP and I was basically done.. But then again I had a BMI of 62 with diabetes and joint pain. Plus my insurance is Scott and White insurance and they are the one's paying for me to go their hospital. I am sorry I can't help you. But I finish up my 6 months next Tuesday and I have to wait until July 7th for my surgery.. PEACE

I have TRS Activcare BCBS. I sent my packet in for a revision. They have requested more info before they make a decision. I am getting that together. I can tell you that they are covering the surgery for the 2004-2005 school year. They are making people stick to the criteria, it looks like. I have to show nutritional/exercise compliance. BCBS won't tell me what exactly that means. I did look on their website, and it looks like you have to have 12 months of supervised diet. Click on http://www.bcbstx.com/medpolicy . Click on surgery and go to page 9. For original surgeries, it gives you the criteria. Good Luck to you. Isn't this a royal pain in the A!

Thanks for the link! I am also on TRS and had wondered what I would require.

Ok, wait a minute, I have missed something. Where does it say in the policy that we have to have a medically supervised diet for 6 months before they will approve? We sent my paperwork in on 3/22 but they said they never got it and I just had my doctor send it in yesterday again. Help! Someone please tell me I have not missed the boat on this?

I have TRS Active Care BCBS and I had to have evidence of five years of trying to loose weight. What helped me was that a year and a half of this was medically supervised because I was on weight lose medication.

What about those of us who can lose, but can't keep it off??? Where do we fall in here? I could lose weight in that 12 months, but based on past history, it will not stay off!!! I read in another post that BCBS just approved the lap-band...anyone know if the requirements will be the same????