Highmark BCBS

Hi. I'm new to the site. I am hoping to have WLS, leaning towards the sleeve if I can. If not, I will do bypass. 

I called my insurance (highmark BCBS) and asked if they cover WLS and what the requirements are. I was told that it's not approved. However, if I can get the proper diagnosis and procedure code, they MAY cover it. 

So my question is, what do I need to get from my Dr to convince them I need this surgery? I have no co-morbities but do have quite a few things related to my weight and my BMI is 51. 

Any help is greatly appreciated. 

Hi, I also have Highmark and if I were you I would request a copy of your bariatric portion on your policy.  Specifically the weight loss section.  You may even be able to view it online.  I think the website is www.highmarkbcbs.com

I realize all policies are different but with regards to your post, I have BCBS and in asking if they cover the sleeve, found out that they do not cover the sleeve but they DO cover the "Longitudinal Sleeve Gastrectomy".  I double checked to be sure we were talking about the same thing  with the agent and then got the definition online.  The Longitudinal Sleeve IS the Vertical Sleeve.

Longitude + up and down = vertical.

Good Luck!