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Thread: Blue cross blue shield

  1. #1
    Gastric Sleeve Member Lisal3e's Avatar
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    Default Blue cross blue shield

    How many of you have blue cross blue shield (BCBS) and in the process of finding out your date? I have BCBS and they only required me a month of over the phone monitored nutrition. And i just had a over the phone conversation with the psycologist.. Anyone else's like this? I'm waiting to be set up wit the nutritionist now.



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    Gastric Sleeve Member Jerzygirl's Avatar
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    Default Re: Blue cross blue shield

    I have BCBS Horizon of NJ. They required a visit with the psychologist, surgeon and two visits with the nutritionist, in 3 separate months, consecutively. So I did surgeon in Aug, Nut & Psych in Sept and 2nd Nut in October. I hit a snag with my cardiac clearance so I had to wait, by then doc was booked up for Nov, but I got the 1st appt in Dec.


  4. #3
    Gastric Sleeve Member kenson's Avatar
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    Default Re: Blue cross blue shield

    I have BCBS as well. I've haven't had any over the phone consults, but things seem to be moving pretty fast. I have my surgery date, and my first NUT appt. Today I had my psych eval and tmrw I have my gastro eval. So far so good! Glad things are going well for you!



  5. #4
    Gastric Sleeve Member Lisal3e's Avatar
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    Default Re: Blue cross blue shield

    Quote Originally Posted by kenson View Post
    I have BCBS as well. I've haven't had any over the phone consults, but things seem to be moving pretty fast. I have my surgery date, and my first NUT appt. Today I had my psych eval and tmrw I have my gastro eval. So far so good! Glad things are going well for you!
    Yea I'm like being impatient with my surgery date lol I've had my endoscopy done and I've talk to the psychologist I want to just hurry up and start the nutrition month already
    Marvinator likes this.



  6. #5
    Gastric Sleeve Member StacyD's Avatar
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    Default Re: Blue cross blue shield

    I have blue cross blue shield.......I only have to complete whatever the doctor wants and I'm good to go. next week I have the endoscopy then after that my PC has to sign off as well as the sleep apnea dr and I'm good to put all my paperwork in

    Every journey begins with one small step....

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  8. #6
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    Default Re: Blue cross blue shield

    I have BCBS of Michigan. I was required 6 months monitored visits, Psych eval, sleep apenia test, cardio testing, and 3 nut visits. But now its all going very fast.


  9. #7
    Gastric Sleeve Member kenson's Avatar
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    Default Re: Blue cross blue shield

    Quote Originally Posted by Lisal3e View Post
    Yea I'm like being impatient with my surgery date lol I've had my endoscopy done and I've talk to the psychologist I want to just hurry up and start the nutrition month already
    I had my first nutrition appointment yesterday. Insurance requires one, but I will have two because they said its too much information to get in one visit. I think we're both anxious and impatient, but it will happen!



  10. #8
    Gastric Sleeve Member htiek123's Avatar
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    Default Re: Blue cross blue shield

    I have BCBS of NJ.... On 10/1/13. I went to see the surgeon, he gave me 5 things to complete. 10/15/13, I had 1 visit with the NUT. Had my PCP send letter. They confirmed insurance, on 10/5/13, Blood work and Upper endoscopy on 10/30/13 and my Psy evaluation on 11/5/13. I called the surgeons office on 11/6/13, and I have a surgery date of 12/2/13. I think it's CRUEL to make someone go through 6 months of dieting and several appointments with the physiatrist. I'm so blessed. One month from decision to have it; to having it. 12/2/13 surgery date.....



  11. #9
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    Default Re: Blue cross blue shield

    I have Highmark BS (Pennsylvania). I had to complete 6 months of supervised nutritionist diet, an EGD, Psych consult...preop class, labs...and I'm now 11 days away. I started this process Jan 2013.
    Marvinator likes this.



  12. #10
    Gastric Sleeve Member DebbieLvswknds's Avatar
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    Default Re: Blue cross blue shield

    I have BCBS of Ga. I Had a 3 month process, 3 nut. Visits, physcologist eval, letter from my PCP, upper GI, all done now. My 1st Dr.'s visit was 8/16 and my surgery date is 11/15 - not too bad.
    Marvinator likes this.



  13. #11
    Hev
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    Default Re: Blue cross blue shield

    I had BCBS and they approved my surgery very quickly. I could have had the surgery in 3 months but i had an emergencey so it was 6 months. I ticked all the boxes Morbidly obese, life threatening illnesses..high BMI...
    Just 5 months out and 72 pounds off none of the above applies... good luck i hope you get it all sorted is the best thing i have done regarding my health!
    Hev
    PitPat and Marvinator like this.



  14. #12
    Gastric Sleeve Member Marvinator's Avatar
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    Default Re: Blue cross blue shield

    I have BCBS Federal. They were rather easy to work with as far as I was concerned.



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    Blood Sugar 140 with metformin before surgery, 80 with no meds after surgery
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    Gastric Sleeve Member Wrightone111's Avatar
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    Default Re: Blue cross blue shield

    Quote Originally Posted by htiek123 View Post
    I have BCBS of NJ.... On 10/1/13. I went to see the surgeon, he gave me 5 things to complete. 10/15/13, I had 1 visit with the NUT. Had my PCP send letter. They confirmed insurance, on 10/5/13, Blood work and Upper endoscopy on 10/30/13 and my Psy evaluation on 11/5/13. I called the surgeons office on 11/6/13, and I have a surgery date of 12/2/13. I think it's CRUEL to make someone go through 6 months of dieting and several appointments with the physiatrist. I'm so blessed. One month from decision to have it; to having it. 12/2/13 surgery date.....
    I had a similar experience with BCBS NY except that once all of my to-do items were done, it took two weeks to get the approval back from the insurance company and I have to go ack to the surgeon on 11/26 to get my surgery date. I'm hoping these next two weeks fly by.



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  17. #14
    Gastric Sleeve Member readytochangemylife's Avatar
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    Default Re: Blue cross blue shield

    I have BCBS Of MS and my insurance will not cover anything related to weight loss, no doctor supervised diet and definitely not any WLS. They consider it cosmetic. Mississippi is the top state of obesity. I had to pay for the surgery. I guess they would rather pay for the heart attack I had and the knee replacement I had instead of surgery to prevent these. Both of those surgeries probably cost them over $75,000. Oh yea, and would rather pay for blood pressure medicine, high cholesterol medicine and prescription for my joints. Go figure.



  18. #15
    Gastric Sleeve Member SuddenlySlimmerSusan's Avatar
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    Default Re: Blue cross blue shield

    I had BCBS Healthy Indiana Plan and it was super easy to get coverage - my surgeons insurance specialist said they are one of the easiest ones to work with. They did not require the 6 month physician supervised diet. (Although in fact I had done one two years previously.) I did my initial consult September 13, my psych eval Sept 20th - followed up on the recommendations of my psych eval by attending monthly support group on Oct 3rd, and getting a note that I had established a relationship with a therapist on Oct 7th. My surgeon submitted the paperwork to my insurance company on October 11th and was approved October 15th. My surgery is scheduled for November 20th.
    Lisal3e likes this.



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