Question:
Has anyone gotten BCBS PPO with weightloss EXCLUSION to pay anyway?

   — Jo K. (posted on November 18, 2001)

November 17, 2001
Yes, I have BC/BS PPO and I have an exclusion in my policy. I was scared to death, but I documented my medical history and I wrote them a letter stating my problems. My surgeon also wrote them a letter and I had letters of support from my, PCP and GYN Dr. After my initial consult with my surgeon his office forwarded all the paperwork and in two weeks I had a approval. They covered me 100%. Please email me if you have any questions, or of I can help you out in any way. The only other suggestion I can offer is PRAY, I swear that worked for me.... Best of luck to you...
   — Malynda S.

November 18, 2001
I go to the surgen tomorrow--I have BCBS PPO--my policy does have the exclusion but read it carefully--it will approve if medically necessary---I talked to the rep at BCBS and she told me that "if I jump thru the hoops--it would be approved" so tomorrow is D-Day---find out what hoops your isurance needs to have jumped and get jumping!
   — [Anonymous]

November 19, 2001
I also have BCBS PPO with an exclusion, but because of my BMI they approved within 10 days after doctor wrote his initial request. I believe that insurances are recognizing that they can either pay now...or later! If they don't help us lose weight now, they will pay for the costly maintenance after we become ill from this disease. Currently I don't have any co-morbidites so I know I was approved because my BMI is 52.1. Good Luck and don't stop fighting until you are approved! This is for YOU!
   — Babsweco

June 25, 2009

   — GastricGirl09