Question:
What is going on with BCBS?

It says in my book they approve for WLS. And now all I hear is that they are denying everyone! What will I do? Does anyone know if this is a fact? I have BCBS PPO    — Sabrina H_NC (posted on August 27, 2002)


August 27, 2002
I have BCBS of VA and was just approved a little over a week ago. I've been hearing things on the message board and I myself am a little worried. I would call BCBS if I were you to make sure they still cover the surgery. I can't see why they would change their minds. Good luck to you!
   — Heather B.

August 27, 2002
Mine says its a covered procedure but they are denying me to the end I have bcbs fl ppo read my profile for more walter and kelley are helping me but they say they have never dealt with anything like this
   — Linda L.

August 27, 2002
Hi, I have BCBS PPO and was approved with a BMI of 40 and no comorbs about 3 1/2 wks ago. Maybe it varies by employer or state. Good luck.
   — TP

August 27, 2002
I started seeking insurance approval for my wls surgery back in April of 2001 with Anthem BC/BS PPO (Blue Access Plan). Everytime I sent them something, they would ask me for more information. They had me see a dietician, a pstchologist, and a surgeon, and then said I did not have enough weight loss history documentation. So in January I started over, going to the doctor every month, being weighed every month. By the end of June I was sick of it. I pulled out the papers I had from the Lindstrom's law office and I called Anthem. I told them I wanted to start the appeals process and I had retained an attorney (little white lie - I had every intention of doing it, but I had not actually sent the money yet). I was told I would have to go through the grievance process first, which is basically what they call the first level of their appeals process. My denial was overturned by Friday of that week. That Monday I went to my surgeon's office and they said they had a surgery opening the following Monday (07-08-02). I took it - I was afraid Anthem might change thier minds! Everything went just fine during my hospital stay, and I got my approval confirmation from Anthem both by fax and through the mail. Now, 7 weeks after surgery, my bills are coming to me unpaid. It seems that the appeals dept. at Anthem never forwarded the information that my denial was overturned. So now they are saying they will pay for the surgery, but first they have to figure out a way to override their system so they can rerun the claims. Honestly, dealing with Anthem has been the worst part of this entire experience for me!
   — Jenny S.

August 27, 2002
I have BCBS Federal PPO (Horizon in NJ) and I was given an authorization/approval code over the phone. I think that each state is different.
   — Michell C.

August 28, 2002
My BC/BS policy approved in 9 days, having surgery 9/25/2002 By the way the determination is made by the particular bcbs policy YOUR own individual employer has negotiated . All bcbs policies whether hmo, ppo, etc are not created equal.
   — **willow**

August 28, 2002
Oh my goodness...I'm right here with you...Blue Cross Blue Shield of Texas (self-funded) for state employees through ERS (employee retirement system), and the exclusion basically says "Weight reduction programs, services, or supplies, even if the participant has medical conditions that might be helped by weight loss; or even if prescribed by a physician". They've stuck by their exclusion adamantly, but I called BCBSTX to complain because I heard someone got the surgery approved. They transferred me to their Complaints Mgr, and I was told by her that this surgery would be covered if a doctor wrote a pre-determination letter based on medical necessity. I'm now working w/CompassWLS.com to get this approved. My new insurance policy is effective 9/1/02, and I have to wait until then, but there's atleast a little bit of hope that they can't just deny this surgery anymore. In Texas, there was a recent victory for patients' right w/regard to "medical necessity" against an HMO for denying coverage for a treatment that resulted in his death...the reward, $40 million to his family, that was meant to be an eye-opener for the insurance companies who are essentially practicing medicine by denying treatment. An article about this trial can be found on insure.com. I'm planning on sending them half a forest's worth of documentation, including docs from NIH re: the effective treatment for MO being WLS. If they say in the book that they approve, gather your information, meet with your doctor and send in your request or start working w/a bariatric surgeon in your area...don't just jump on the rumor bandwagon...find out for yourself!! :)
   — Lynda L.

August 28, 2002
I have BCBS of GA PPO, I have a written exclusion policy that excludes any care or surgery that relates to obesity. I called the insurance company and was told that I do have an exclusion policy but if I could prove it medically necessary I could get approved for the surgery. I'm waiting now for my appointmnet with my surgeon in October. Don't give up I've seen where a lot of people are approved. Good luck!
   — Kimmie C.

August 28, 2002
I have BCBS PPO of Pa. Not all policies all the same. Mine had an exclution. It stated that thay didn't cover surgery for weight loss except for mobidly obese (which I am) My first letter was denied due to lack of information and also that it was sent to the wrong address the first time. So make sure that it goes exactly where is has to. Check you book and see where to mail pre-certification. The second time i made sure it got to the correct address with plenty of medical information and I was approved then. Make sure you have lots of medical info to back up why you need the surgery. Sometimes weight alone doesn't get you approved. I wouldn't panic though if your policy says it covers it. Good luck
   — Lori M.




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