Question:
I have bc and bs of Il. I work for at&t. How do I get them to pay for the lapband sur

   — corlisse1959 (posted on May 28, 2009)


May 28, 2009
first you'll need to verify your benefits and see if bariatric surgery is covered under BC/BS. They will let you know right away and if you have any exclusions. If you do have coverage there shouldn't be a problem getting the labband surgery. I have BC/BS of NY. Do you work for AT&T in Houston? Who is your doctor? Sorry for so many questions. I see Dr Davis and they are wonderful to help out for insurance questions.
   — Dori M.

May 29, 2009
Hi, I have BCBS of Il PPO plan. I am just getting started with this, but this is what I've found. Call the customer service number on the back of your card. They should be able to direct you to the medical policy on the web site. If you go to www.bcbsil.com/obesity, click on I agree, then medical policy on surgery on the left of screen you see their requirements. When I try to access the policy from the way they suggested I get an error, but this is how my customer service rep told me to get there. www.bcbsil.com,providers,provider library, medical policies on the left side of screen, I agree, Type in bariatric surgery in green search box. I have a printed copy of this policy from a few months ago. On that copy it says they cover RNY and lap band. All others are considered (I think they call it) experimental. Stay in touch, we'll compare our experinces.
   — Donna R.




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