Question:
Has any one had Anthem bcbs blue access ppo

Have you had this type of Insurance and was turned down the first time? Did it do any good to appeal it if denied? How long did it take to get a responce after an appeal?    — Willie H. (posted on April 13, 2003)

April 13, 2003
Why were you denied? Sometimes it's just because the insurance company didn't get the information they require or the codes submitted by the doctor's office weren't the right ones. You need to know exactly why you were denied. If there's an exclusion, that can be hard to fight. However, sometimes the insurance denies because there's something you haven't done that they require and if you can do whatever that is, then you can get approval.
   — garw

April 13, 2003
I have it and had to appeal a denial. They had denied me because they said it wasn't proven medically necessary without proof of 12-18 months of a supervised diet. I submitted a notarized statement from a friend who went to WW with me and proof seeing a diet DR. 3 times in a 1 year period. They then denied me because it wasn't life threatening I told them I was contacting the attorney generals office because they changed the criteria they reviewed the policy and reversed their decision that day. I started under Anthem Traditional and it changed to Blue Access PPO during this time. I am a State of In employee. You need to read your policy and see what it says. Mine said no weight loss other than surgery if deemed medically necessary. Good Luck and appeal if you have too. It took four months from the original request to get approved.
   — Candace F.