Question:
Anyone on BCBSNC Blue Care insurance? How hard to get approved? At min. qualif...

I am going through the process, all the pre-consult appts. I BCBSNC and have heard that it is fairly easy to get approved through them. I am wanting to have the RNY and am 5'4" and 225 lb. (BM 38.5) I have other health complications, B/P and Sleep Apnea with lots of other health problems in my family that i am at risk of. My mom had this surgery 2+ years ago and was approved through her disability.There have been people who say i don't need the surgery, because they say i don't weigh enough. I, however am miserable and am tired of fighting a losing battle. I know of others who weighed less and had it done. Anyone else had similar situation and was approved through same insurance?    — slynn33 (posted on June 13, 2007)

June 13, 2007
First of all, don't tell anyone else of your intention to have wls. It's a personal decision and no one walks in your shoes or suffers your health problems. You are considered a lightweight and most people think that only grossly overweight people qualify for wls. Your answer to the doubting davids at this point is to say that you do not want to compromise your quality of life in 10 years. I fought a losing battle too and gained the majority of my weight after having children and then developing diabetes when I was 35. Just lean on your OH friends for support through this process and stop talking to others!
   — Sheri A.

June 13, 2007
I agree as well.I'm 5'5 230 lbs And have problems with boderline diabetes,high cholesteral,I also take atenonol, for blood pressure,I know I have First Health and my BMI Is 38.3 they say a BMI of 35> with co-morbites or a BMI> with out co-morbities can have the surgery It still is up to the insurance in the long run, If they will approve it that Is,I will go for a sleep study 06/21/07.I went to a nutritionist 06/13/07 my insurance required that as well,but I did find That to be informative, I still need cardio-stress test and Phys.eval.too and 6 mo. diet to chart down.Each insurance co. has their own requirements.One person told me it's better That way it gives you time to think things through.And adjust To your new lifestyle.I say go for it now before you have major problems. And consult with your Doc. and your weight loss surgeon as well,to see what they think.I'm going for the lapband.Anyway, Good Luck And keep us informed, Sabrina
   — sabrina S.

June 14, 2007
People who sya you "dont weight anough" are jealous. They are trying to break your stride. You do qualify with 2+ comorbidiites and BMI >35. If this si what you want go for it! People said things liek that to me too.... "Oh, you don't llok like you need that " or whatever. I had a BMI of 40.9 or something like that.... ignore these people and do what is rihgt for you! As to qualifiying with certain insurances... it depends on your individual policy some employers exclude it. Good luck!
   — SteffieBear15