Question:
Anyone with BCBS/Highmark please read

I am new to my company (was a temp for months just got made perm) benefits package. The insurer is Blue Cross Blue Shield managed my Highmark in Pennsylvania (I am in Oregon). I haven't been able to get a decent explanation about what this means.. it's a PPO. Is there anyone out there with the same coverage who's been researching WLS? Thanks for your help.    — Joscelin (posted on June 16, 2001)

June 16, 2001
I have Highmark BCBS. They cover WLS as long as you are 100 pounds overweight. The process was fairly easy for me. It didn't even need to go for medical review. I was concerned because they told me that I wouldn't get a letter but they said that that is their policy. Call them with your group # and ask if WLS is covered, then ask if the surgeon you're working with is in their provider list. If he/she is a preferred provider, coverage is at 100%. If not, I think there is a small deductible. Also check your own company HR benefits manual. Mine had a clause about WLS that was a little more restrictive than the BCBS qualifications (I still met the criteria for both my comp and BCBS though). Good luck!
   — Kimberly L.