Carelink insurance

robincleek68
on 4/11/05 1:58 pm - Hurricane, WV
Has anyone in West Virginia been dealing with approval or rejection for surgery that has Carelink insurance. I am curious to know what you have been told one way or the other.
kristiew
on 4/14/05 1:21 am - WV
I have carlink PPO plan and had no problems with getting approval. I think the requirements are 6 months dr sup. diet history in last 2 yr. A BMI of over 45. And I can not remember any others, my DR office handled all of the ins stuff. I did hear that carelinks med director is who used to be at bcbs and they had made some changes as of Jan of this year and it has made it harder to get approved with carelink. Not sure how true or untrue that info is tho. I was actually denied at first because "noncompliant with post op diet prior to surgery" That made no sense so my Dr made a phone call to the Med director and got everything straightened out and I was approved that day. Hope any of this is helpful.
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