Question:
I cannot get BCBS BLUE CARE to accept me for admissions but have a BMI of 44

   — Roberta D. (posted on September 13, 2002)

September 13, 2002
What state do you live in? I have bcbs of nc, and I had no problem. They wanted a referral from my primary care (AND THE MAIN CRITERIA THEY WANT NOW IS A HISTORY OF YOUR WEIGHT FOR THE PAST FIVE YEARS) My pcp just wrote it out on a prescription pad, and that was fine with them. Go online to bcbs and type in your information. Then you will be able to get your insurance requirements. Go to search and type in "gastric" and it will bring up the requirements for bcbs requirements for your specific insurance. Once you meet the criteria ie....having a thyroid test...blood glucose...sleep aphnea....talking with pyschologist..meeting with a dietician, and anything else they require. When you have everything they require, and your surgeon should know what that is, then you should get approval, if you meet the criteria. Do you have any medical problems such as arthritis? diabetes? sleep aphena? hypertension? joint problems? all of these make it a medical necessity. If you have done all this, and it has not worked, there are sites here at obesity.com, and a list of attorneys that will go to bat for you. Also, there is alot of information available on this site to guide you in your process of fighting the insurance company. Good Luck, Melinda
   — Melinda W.