BCBS of ILL sucks!!

I have just been denied coverage for surgery because according to the stupid insurance company I did not lose enought weight on my 6 month supervised diet.  This should be an indication to them that I have extreme trouble losing weight (hello?).  Now it goes into appeal

That's not fair! I have the same insurance. I have posted the same worries. What if I lose too much? what if I don't lose enough? my responses pretty much said not to worry about it. But I guess that was wrong huh? I am glad u aren't giving up. I don't know about your policy but I have read mine inside out. It does not say anything about losing a certain amount of weigh it says a "6 month supervised diet" wtih in th last 24 months. Don't worry about it. APPEAL! Have you posted on the IL board? People there will probably have some more advise for you. I will be on my last month for 6 month diet next month. My major concern is the 5 yr history. i only have 3 yrs. documented. Also i have sen several posts regaring denials and people say that the surgeon went to bat for them and they got approved.be strong and keep me posted.

I have BCBS and will be soon trying to get approved. My documents say they need data going back 5 years.... do they need five years of supervised attempts to lose weight? Luckily for me I can get information going back six years because the doctor I used to see then is still around and hubby still goes there. I'll be visiting with them tomorrow asking for a recommendation and all my records. The reason I left them in the first place was because how rude and mean they were to me about my weight.  I'm just curious about what the 5 years informatin is that they actually want.

Thanks for your concern.  I am so upset, I have tried so hard to lose weight and it does not want to budge.  I was also told from some people no to worry about how much to lose as long as I did lose, but not to lose too much weight then they think you don't need the surgery you can do it on your own.  I guess I should not have gotten my hopes up about this life changing surgery before I was approved.

I have BCBS of IL and I lost 14 lbs during the last 3 weeks of my 6 month diet because they put me on the liver shrinking diet, and I was very strict with myself, I ate only what was allowed on the papers they gave me.  They approved me on 8/14.  How much did you end up losing?

Hello, I have BCBS of ILL, I called my surgeon's office today after calling every week for a month to find out when they were going to send my paperwork in for preapproval.  Well it was sent in, I believe on Monday and denied shortly afer that.  The denial was left on a voice mail at my surgeon's office.  It said something about my 6months supervised diet not being coded as weight loss management. My doctor's office gave me the number to call BCBS, I did and left a message.  I really don't expect to be called back since I think the number was for doctors only.   My doctor's office will call them also but not until Monday and I wanted to know something TODAY. I just want to know what is the next step now.  By the way my surgeon's office couldn't figure out what the problem was since every month of the required 6 months was coded correctly.  Well I guess I will find out sometime Monday. Just keep your head up.  I think alot of people are denied at first.  That's the insurance companies' job, to keep their money. My sister was denied at first also and she kept up the fight and 3 months later was approved.  I guess that's why they call it a journey, the first step is dealing with the red tape. Good Luck

Just out of curiosity, which BCBS do you have?  regular, ppo or hmo?  Curious because I am about to begin my own journey.