Confused about BCBS--Please Clarify

Total Package
on 1/3/05 7:45 pm - Greenbelt, MD
I'm sorry to beat a dead horse here, but I have been away for a while and can't seem to get a clear picture from previous posts. I currently have UN-CARE (Unicare) and they claim they won't cover the surgery. Since I live in Maryland, I was gong to fight it. However, I just found out yesterday that my company is being bought out by a Michigan-based company and they use BCBS. Now they claim they don't have our benefits situation all worked out yet, but I'm sure we'll be switching over to BCBS. So I am wondering should I be standing up and cheering because I'm getting away from UN-CARE or am I in the same situation? I saw some posts that said that BCBS is no longer convering the surgery in 2005, but then some other posts refuting it. So I'm confused. Now when the benefits people from the new company come to visit with us, should I ask them if they have purchased a rider? Thanks in advance to anyone who can clear all of this up for me
CuteDonna
on 1/3/05 9:07 pm - Effort, PA
I switched over to my own insurance this year (2005) and it's BCBS and they cover WLS. It depends on the insurance company. Yes I would ask them when they come to talk with you if they cover WLS. Donna
Jacquis T.
on 1/4/05 5:18 am - Coosada, AL
I can tell you this, I have BCBS of Alabama and was just denied because of the three year rule about having documented my weight. I am currently sending in my school day pictures (I teach) and a letter from primary care physician to prove I have been overweight for more than three years. So yes BCBS does still pay for the surgery but the guidelines are becoming stricter. I would get the paper work going as soon as you secure BCBS because new criteria will be in effective March 1, 2005. The new criteria is stiffer than ever. Hope this helps!!!!
Karen W.
on 1/4/05 11:55 am - Shreveport, LA
I too have BC/BS of Alabama and was also just denied! Lack of documentation, 6 month diet proof, etc. I am appealing! Good luck, Karen
Most Active
×