Any Nebraskans with Carefirst BCBS?
Hi I am not from NE but have BCBS of Maryland. Here is the word for word criteria I got of the BCBS website. Hope it helps I hope to be hearing something back this week from my Dr's office. The paperwork was sent in July 16th so BCBS should be getting back to us sometimes this coming week. Good luck I have been working toward this surgery for the past 4 years.
Sherri
AGE - 18 years old or older and
Psycological examination - Complete a pyscological examination to determine readiness and fitness for surgery and necessary postoperative lifestyle changes and
Structured diet program - Maryland and D.C. plan members only: must complete a structured diet program in the 2 year period that immediately precedes the request for the surgery by participation in either;
- one structured diet program for 6 consecutive months or
- two structured diet programs for 3 consecutive months. (can include commonly available diet programs such as Weigh****chers or Jenny Craig) and
Weight Requirment - Maryland and D.C. members only: must meet either of the following criteria:
- BMI of 40; or
- BMI equal to or greater than 35, in combination with one of more of the following co-mord conditions: hypertension, a cardiopulmonar condition, sleep apnea, diabetes mellitus, or any life threatening or serious mdical condition that is weight induced.
Sherri
AGE - 18 years old or older and
Psycological examination - Complete a pyscological examination to determine readiness and fitness for surgery and necessary postoperative lifestyle changes and
Structured diet program - Maryland and D.C. plan members only: must complete a structured diet program in the 2 year period that immediately precedes the request for the surgery by participation in either;
- one structured diet program for 6 consecutive months or
- two structured diet programs for 3 consecutive months. (can include commonly available diet programs such as Weigh****chers or Jenny Craig) and
Weight Requirment - Maryland and D.C. members only: must meet either of the following criteria:
- BMI of 40; or
- BMI equal to or greater than 35, in combination with one of more of the following co-mord conditions: hypertension, a cardiopulmonar condition, sleep apnea, diabetes mellitus, or any life threatening or serious mdical condition that is weight induced.