Blue Cross Blue Shield of TN.
I work for BCBS of TN. I work in the BlueCare Division, which is a division of TennCare (state form of medicaid). It amazes me that people on TennCare can get approved for WLS and it is my tax dollars paying for their surgery. Yet, when I inquired about my own policy I got this reply:
" This letter is in response to your recent inquiry concerning the eligibility of Lap-Band Surgery for the above member. This information provided today is based on current eligibility and contract limitations. Final determination will be made upon the completion of the processing of your claim.
Under the terms of your policy, benefits would not be eligible for the services described. Services or supplies related to Obesity, including surgical treamtne for morbid obesity is excluded on this policy. If the pre-testing is related to Obesity then these services would alos be excluded on the policy."
This is depressing and discouraging, but I won't give up. Now I just have to figure out what to do next. Where do I go from here? Who do I write? What do I do? How do I fight them?