BCBS FED PLAN (basic option) URGENT QUESTION

So today I had my initial consult with the surgeon.  Everything went well until the patient advocate came in and told me I have excellent insurance.  The only requirements for gastric bypass are a nut eval, psych eval and a 5 YEAR HISTORY!!  From everything I have been reading, nothing and I do mean nothing has ever stated that.  I of course do not have any of that info.  Am I wrong, is this something new for 2010?  Could my patient advocate be wrong?  Any advise from someone else who also has this insurance.....please help. 

Your patient advocate could be wrong - have you called the ins co to see what the requirments are?  Or do you know what the web site is for your payor - they may have a section that tell's your provider what is required - Good luck

I will be calling this ASAP this morning.

Guess what???  My "Patient Advocate" who knew everything about health insurance was wrong.  She finally got back with me this morning to tell me she was sorry and that I was right.   Yeah!!  That's one hurdle down a few more to go.  At least I didn't take her word for it.  Thanks for your help.

Have you found out what your portion is going to be (your out of pocket?) I have the same insurance.

The only history I was told of was a 3 year weight history. I was told I just need my doctor to say what my weight history was for the last three years, anytime during the year.

No my fatfriend, I don't but I'm thinking it's going to be under $500. all together.  I could be wrong though.  I figure since it's all in-network and a prefered provider that there should be no problems.  Do you have any figures to throw out?  When are you gonna have surgery?  Best of Luck on your journey.  Cheers to you. 

 Hi,

I have the same insurance and have my first app't 2-1.  I am getting stressed about the co-mobidities.  My BMI is about 38, I have plantar fasciities, and am being treated for atrial fib.  I had a sleep study last night so waiting on that result.  

I am getting very hung up on whether or not I will be approved.

My package is going to be sent to the insurance company today.  Unfortunately it's the same lady who gave me bad info the first time around.  I am also VERY nervous about getting the approval.  I wonder how long it takes for the insurance to give a yes or no.  Now I am beginning to think that maybe I put too much hope into getting this surgery.  Honestly though I have dieted for many years and I am tired of doing the yo-yo thing.  I think this is the one thing that will help me loose all of my weight and maintain it.  I will let you know when (if) I get word from the insurance company.

Go to your appointment and tell your doctor all your problems that the weight has caused you.  Have you also called the number on the card?  I called and asked what all the specific requirements were and that's mainly how I got started with the whole process.  Keep me posted and I'll do the same for you. Best Wishes!!!  

 Hi,

I haven't called BCBS yet - I tried Monday and they were closed.  I will make a list of everything that hurts, etc so hopefully I will be approved.  

I'll keep you posted, and you do the same!  Thanks!

OMG!!! Just got approved today.  Less than 24 hours after my info was submitted.  My doctor wants a gall bladder ultrasound and an Upper Endoscopy done before surgery.  YEAH!!!  It's finally gonna happen!  Good Luck to ALL in waiting.