5 Year medical records with BCBS IL - have a question
Hello, new OH member here. I finally feel I am ready to start the process of weight loss surgery and had gone to a local meeting here at the hospital where I live in Florida with my husband, they had me give them my insurance information and sign some papers, I got a call a few days ago that they had contacted my insurance about all of my costs and what I need to do before I send out the request for surgery.
The secretary over the phone mentioned a letter from my PCP, nutritionist, psych evaluation, and medical records as the requirements. I have Blue Cross Blue Shield of Illinois PPO. My question is about the medical records she mentioned, when I contacted the person who handles all of my employer health insurance stuff just to make sure that the company covered the surgery and when they told me they did and they broke down the costs for me they were on par with what the secretary from the surgeon told me. When they told me about the requirements they did not (forgot I guess?) mention the 5 year medical records from my doctors that includes height, weight, and co-morbid conditions.
I have five years of records of being obese that is not a problem, my problem is back in 07-08 I was not considered morbidly obese, my BMI was 36 with no sleep apnea at the time or hypertension or anything just GERD. I see alot of people on here when I did a search saying they needed records for five years of being morbidly obese (I have not seen any from my insurance company though) so I am wondering if I would still qualify with a bmi of 36 from five years ago? I didn't reach a bmi of over 40 until I was halfway through my pregnancy in 2009 and after that the weight never came off and I kept gaining.
I hope this will not be a problem to where I will have to wait 2 more years being as miserable as I am now, anyone who has gone through BCBS IL who could shed some light on this would be greatly appreciated as I don't feel like trying to get through on the phone with my company again, it was a looooong que to get a real person to talk to. By the way this is for the RNY Bypass as none of the doctors anywhere remotely close to me will do the DS (my bmi is 51).
Thank you for your time!
The secretary over the phone mentioned a letter from my PCP, nutritionist, psych evaluation, and medical records as the requirements. I have Blue Cross Blue Shield of Illinois PPO. My question is about the medical records she mentioned, when I contacted the person who handles all of my employer health insurance stuff just to make sure that the company covered the surgery and when they told me they did and they broke down the costs for me they were on par with what the secretary from the surgeon told me. When they told me about the requirements they did not (forgot I guess?) mention the 5 year medical records from my doctors that includes height, weight, and co-morbid conditions.
I have five years of records of being obese that is not a problem, my problem is back in 07-08 I was not considered morbidly obese, my BMI was 36 with no sleep apnea at the time or hypertension or anything just GERD. I see alot of people on here when I did a search saying they needed records for five years of being morbidly obese (I have not seen any from my insurance company though) so I am wondering if I would still qualify with a bmi of 36 from five years ago? I didn't reach a bmi of over 40 until I was halfway through my pregnancy in 2009 and after that the weight never came off and I kept gaining.
I hope this will not be a problem to where I will have to wait 2 more years being as miserable as I am now, anyone who has gone through BCBS IL who could shed some light on this would be greatly appreciated as I don't feel like trying to get through on the phone with my company again, it was a looooong que to get a real person to talk to. By the way this is for the RNY Bypass as none of the doctors anywhere remotely close to me will do the DS (my bmi is 51).
Thank you for your time!