Question:
Anyone have surgery within the last year or so with BCBS/FEP?

Any problems getting approved and if not what was the time frame for your approval?    — MicheleAD (posted on January 27, 2010)

January 27, 2010

   — sandralynn

January 27, 2010
I agree mine was approved very quick!I was beinginning to wonder if it was true.At first I was approved for RNY and then I told the doctor I was undecided which surgery I wanted and he said its no problem they are all still covered under your insurance just choose the one you want!I thought that was a little differnt.However we did discuss each one very thoroughly and I chose RNY but I have to pay the Dr 400 and the hospital 2400 and I wasnt aware of the 2400 until I went to register at the hospital.But I am happy and do not care how much it is going to cost because there is no dollar amount for your life!
   — davonjack

January 28, 2010
Hello fom St Augustine, FL. Yes, I have BCBS/FEP Std Plan group 105, if you are fed govt employee you will know what all that means. First request was approved. They paid everything $40k+. All I paid was Hosp $100 deduct and Dr $300 for books, 3 months supply of vitamins, shakes, protein eat food supplements. That's it. After I did it, three other people in office did it also. Ha! I started a trend and I think there are a few more employess going also. I think I should get some kind of commission for being the guinea pig "the first", ha-ha, but I had RNY, others had Lap Band and I think one had the sleeve. BCBS/FEP of Florida was wonderful and paid all of our bills. Good luck to you. Hope you have Standard and not Basic because Basic you have to pay a nlot more out of pocket. Let us know how you come out, if denied keep trying. They will pay. Again, good luck and God Bless, Tina
   — Tina B.

January 28, 2010
I had Band surgery Dec 2008, and my husband had it a few weeks later. I changed to VSG December 2009. I had no problems with BCBS. They paid for everything except the nutritional counseling and psych eval I had to have done (and hubby had done). They approved within just a couple of days and my doctor's office has been surprised at how quickly they approve the procedures. I always wait until the end of the year so that it's covered 100%. I end up with no copays for any of it.
   — towhead

January 30, 2010
I just did this too. It took all of about 1.5 days to be approved via email. I live overseas and everything was done via email. The insurance has a direct pay deal with the hospital and they sent them some sort of info saying they would pay. That was it.
   — beccay10

January 31, 2010
I have to ditto everyone else here. I was approved in less than a week. I didn't get a letter, but the Dr's office did. I just had my surgery on 1/26! Good luck:0)
   — honeybare