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Federal BCBS / Standard plan.
Paperwork submitted 4/29, approved 5/10. (7-ish business days)
Only have 1 insurance company, so I don't know if any are easier to deal with.
49/F 4' 11" Highest Wt. 183.8--Surgery Wt. 173.0--Current Wt. 115.2--Goal Wt. 115.0
I have Federal BCBS, not BCBS MN, but I did the same thing as you. I wanted to be proactive and gather everything before I met anyone. Turns out, all I really had to do was go meet with a bariatric surgeon. They are experts in this area and can tell you everything that will be expected of you, and give you all of the forms and examples of how letters should be written for your specific plan.
If there is anything they need from you, an experienced bariatric team will do almost everything they can to help you get it. All I had to give my office was my primary care support letter - which they templated and gave to me to have her sign. Mine had to contain certain key words and phrases to get approved. (P.S. approval took about 7 days).
If you haven't attended a new patient seminar, I would suggest you start there.
49/F 4' 11" Highest Wt. 183.8--Surgery Wt. 173.0--Current Wt. 115.2--Goal Wt. 115.0
Hey Guys! I am new to this site and am in the beginning stages of my weight loss surgery journey. I have BCBS of MN through my employer and luckily gastric bypass and the vertical sleeve are covered. (haven't completed decided on which I want) I have gone over the medical policy that was sent to me from the BCBS but I still have questions. My main question is what documentation needs to be gathered to present to the insurance company. I have already gotten my letter of medical necessity from my PCP. I am in the process of getting my psych evaluation completed and I am in second month of the 6 month medically supervised diet. Other than the BMI qualifications, which I am more than meeting, these items are the only thing mentioned as qualifications for approval. However, I have seen other ppl on this site talk about gathering medical records and other items. I am just curious as to what all I need to be gathering over the next few months.
Hi, my name is Kim. I was wondering if you still had a copy of the 6 month medical diet. I am going to have gastric sleeve but it is being put off due to this dietary regulation. My email is [email protected].
Thank you so much for your help. I really appreciate it. ?
Hi my name is Kim. Do you still have a copy of the 6 month diet. If you do would you please email me a copy.
Thank you!!
Is there anyway you could send me a copy of the paperwork for the 6 month diet that you have. My insurance needs me to do the diet too.
My email is: [email protected]
Thank you!!
I have UHC POS and there is a written exclusion. Has anyone been able to get bariatric surgery covered under this plan? I'm desperate and cannot afford the cost of the surgery. I've already asked my employer to add the benefit to the plan. NO response of course. PLEASE ADVISE. Thank you!
I have Aetna. I called member services and asked if it was covered. They got my member number etc. Told me it was covered and then emailed me a detailed document that basically tells what you need to do to qualify. The member services rep was very helpful, but I do know that you have to tell them your member ID number and they will tell you whether or not your company has purchased the obesity rider.
Hollykim,
Thanks for the suggestion. I am hoping to push them into changing the policy due to numerous severe comorbidities. My husband's company is Self Insured, and I plan to throw a lot of stats at them that it would save them money in the long run to allow it for me at least...I've already had 2 spinal surgeries, and need a 3rd, as well as a knee replacement which may possibly be put off IF I were to lose the 200 pounds I am over my ideal.
Cheers,
RhainyC
If you have been approved, what is the name of your insurance company and what type of policy/name of policy did you have?
Which insurance companies are the easiest and worst to deal with?
Hockeymom87 · 0 replies · 856 views
