Welcome guest, you have 1 message! Register

Results 1 to 6 of 6
  1. #1
    Gastric Sleeve Member
    Join Date
    May 2014
    Last Activity
    05-18-2014 02:35 AM
    Posts
    2
    Said "Thanks" 0 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 1 Times

    Default BCBS of Oklahoma

    has anyone with BCBS of Oklahoma been approved and covered for gastric sleeve surgery. I keep getting denied.

  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    06/09/2014
    Join Date
    Mar 2014
    Last Activity
    03-03-2016 11:54 PM
    Posts
    31
    Said "Thanks" 0 Times
    Was Thanked 7 Times in 6 Posts
    Said "Welcome to Gastric Sleeve" 8 Times
    Blog Entries
    8

    Default Re: BCBS of Oklahoma

    Is BCBS the underwriter for your company?

    Here in Nebraska it is covered under BCBS except BCBS is the underwriter for Educators Health Alliance so it isn't covered.

    I am self pay and will have my surgery on June 9th



  4. #3
    Gastric Sleeve Member bmiller140's Avatar
    I have had a gastric sleeve.
    Name
    Bonnie
    Surgery date
    05/29/2014
    Surgeon
    Dr. Chad Carlton
    Join Date
    Apr 2014
    Last Activity
    11-17-2014 11:16 AM
    Location
    Heath, Texas
    Posts
    562
    Said "Thanks" 6 Times
    Was Thanked 163 Times in 156 Posts
    Said "Welcome to Gastric Sleeve" 99 Times
    Blog Entries
    22

    Default Re: BCBS of Oklahoma

    Do you know why you are being denied? Does your policy cover Bariatric surgery? Or did you not just meet the criteria?



  5. #4
    Gastric Sleeve Member
    Join Date
    May 2014
    Last Activity
    05-18-2014 02:35 AM
    Posts
    2
    Said "Thanks" 0 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 1 Times

    Default Re: BCBS of Oklahoma

    i meet the criteria
    40 bmi sleep apnea. so there must be an exclusion

  6. #5
    Gastric Sleeve Member PR8R's Avatar
    I have had a gastric sleeve.
    Name
    Mike
    Surgery date
    05/28/2014
    Surgeon
    Dr. Moon
    Join Date
    Feb 2014
    Last Activity
    02-04-2017 06:13 AM
    Location
    Kentucky
    Posts
    312
    Said "Thanks" 25 Times
    Was Thanked 66 Times in 54 Posts
    Said "Welcome to Gastric Sleeve" 2,694 Times

    Default Re: BCBS of Oklahoma

    This is your insurances page with requirements. Bariatric Surgery for Morbid Obesity
    Check it out. They do cover the procedure, but i have also noticed that bcbs requires a history of medical issues that may go a year or two back before considering letting you have the surgery. They also require you to lose a percentage of weight on your own. If you dont the will deny you and if you fall under a 40bmi you will need 2 co morbities. Sleep apnea, high blood pressure, diabeties. Theres a few more. Should be on that link. Best of wishes.



    Beginning- 304
    Day of surgery - 292
    1st goal - 260 6/8/2014
    2nd goal - 240 7/20/2014
    3rd goal - 220 8/30/2014
    4th goal - 200 10/29/2014
    5th goal - 180

  7. Gastric Sleeve Surgery With Weight Loss Agents
  8. #6
    Gastric Sleeve Member jmw's Avatar
    I have had a gastric sleeve.
    Join Date
    Nov 2013
    Last Activity
    04-04-2018 04:03 PM
    Posts
    632
    Said "Thanks" 52 Times
    Was Thanked 121 Times in 113 Posts
    Said "Welcome to Gastric Sleeve" 30 Times

    Default Re: BCBS of Oklahoma

    I have BCBS and live in Oklahoma and was approved with no 'diet history' (although I have a couple of decades of 'diet history') or additonal requirements outside of psych clearance, NUT visits(3), physical therapy consult, and meeting either 40 BMI(which I excelled at) OR 35 bmi with co-morbidities. The way that it was explained to me is that each employer chooses whether they will offer additional coverage options, such as bariatric surgery or infertility treatments. So, just because I am insured through BCBS of OK and mine was a covered procedure, it was only covered because my hubby's employer choose to cover that procedure. Someone else with BCBS of OK whose employer does not choose to offer coverage for bariatric procedures will be denied.



    Pre-op Diet Start Weight: 291
    Day of Surgery: 272 - 19 lbs on pre-op diet
    Month 1: 255 -17
    Month 2: 240 -15
    Month 3: 227 -13
    Month 4: 214 -13
    Month 5: 204 -10
    Month 6: 191 -13 100 POUNDS LOST!
    Month 7: 181 -10
    Month 8: 173 -8
    Month 9: 165 -8
    Month 10: 158 -7
    Month 11: 155 -3
    Month 12: 150 -5
    One year loss: -141

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •