Medical Necissity

Hockeynana
on 5/5/04 11:55 pm - Fairborn, OH
I heard from my BCBS insurance and they say they have my packet. I am approved that surgery is a medical necessity but this is not an approval for surgery. They don't know when the review will be complete but it could be 30 days. Guess I don't understand if their information covers morbid obesity and they feel this is a medical necessity-why I'm not approved now. Has anyone else experienced this? Sandy
PJ E.
on 5/6/04 1:17 am - Wilder, KY
Sorry I have nothing to add except that it sounds a bit confusing to me. Good Luck! PJ
DrC
on 5/6/04 1:21 am - Cincinnati, OH
It means that they will likely cover it as long as it's not an exclusion to your plan. It hasnt gone through the right pipeline yet. Good luck, Dr. C The Deaconess Surgical Weight Loss Center Cincinnati, Ohio
k29acosta
on 5/6/04 4:11 am - roseburg, OR
sounds like you have made it through one of their requirements you know how some insurances say things like you must have failed diet attempts, must be a medical necessity, must have pcp release whatever they require sounds like yours has passed one of the requirements and your on to the next... sounds like good news you are still in the game hang in there
Jeffrey B.
on 5/6/04 4:15 am - Dayton, OH
I got that same letter. I'm now just over three weeks post op. Good Luck.
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