Question:
I talked to BC/BS yesterday and
the representative told me that there is only ONE co-morbidity payable, making the surgery a medical necessity under BC/BS. When I asked her what that was, she said she could not divulge that information. ( TOP SECRET) Does anyone out there happen to know what co- morbidity that would be ? Thanks for sharing information on this web-site. — Kay R. (posted on January 5, 2000)
January 4, 2000
I think they are giving you the run around. Ask for a bebefit book. It will
explain the coverage. I have BCBS of NC
I have high blood pressure, BMI 40, othopedic problems in both feet,
migranies. I was covered without any problem. Good luck. Lou Ann
— Lou Ann J.
January 5, 2000
Kay......I Too have BC/BS and I was denied. Reason stated: That I currently
have no life threatening illness from obesity,imediate or short term. I
have very high blood pressure and joint pain. however they said that joint
pain is not life threatening. I am now in the process of an appeal, I am
using the B/P as my only hope Good luck to you.
— STAR W.
January 5, 2000
I have BC/BS and I didn't have any life threatening problems aside from the
fat. I had pain in my joints, incontinence, and a family history of heart
attacks. Of course, since we don't see the letter that is sent to the ins
co who knows what is on it. But I got approved 4 wks later.
— Susan F.
January 5, 2000
I have BC/BS of Michigan. My surgeon gave me the procedure code of the
surgery to call and see if they would cover it. I called BC/BS, gave them
the code and was told yes, it was a covered benefit, but with only ONE
diagnosis code. I gave the representative the diagnosis code my surgeon
had given me, praying it was the right one, and it was. It was the
diagnosis code for obesity.
— Tammy S.
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