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Insurance Discuss insurance topics for the gastric bypass and Lap BandŽ operations.

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Old 03-12-2008, 11:56 AM   #11 (permalink)
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Originally Posted by 'thann View Post
Hi, everyone! It's been ages since I've posted because I've been occupied with the 12-month PCP-monitored plan required by BCBS of Michigan. (SHHH -- this isn't common knowledge yet!)

GOOD NEWS: Yesterday Barix called me to give me a heads-up that BCBS of Michigan is changing the requirement to only 6 months as of 2008. That means that at my January appointment I can request that my PCP write my letter of recommendation. YAY!

I was being patient, knowing that it took me longer than 12 months to put on this weight, and I was also being a Good Girl. I lost 15 pounds since July, doing nothing more than avoiding all processed foods (fast foods, prepared foods, etc.), and learning to cook EVERYTHING from scratch (bread, mayonnaise, soups, etc.). I figure that I might as well get used to monitoring my food now so that after surgery it's not such a shock.

Just thought I'd share! I'll post when I've gotten approval (being optimistic here!).

'thann

Also, for those with a BMI of 50 and greater, that 6 month period of time is waived, however; you still may need to do it to meet the criteria of the clinic. But knowing the insurance red tape hassle is taken care of is peace of mind.



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Old 03-12-2008, 01:39 PM   #12 (permalink)
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Hey Kimberly!

You stated that Also, for those with a BMI of 50 and greater, that 6 month period of time is waived, however; you still may need to do it to meet the criteria of the clinic. Is this true for BCBS?
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Old 03-12-2008, 09:30 PM   #13 (permalink)
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Hey Kimberly!

You stated that Also, for those with a BMI of 50 and greater, that 6 month period of time is waived, however; you still may need to do it to meet the criteria of the clinic. Is this true for BCBS?
I have BCBS Premier Care, and it's true for that.

Good luck!
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Old 03-13-2008, 07:00 AM   #14 (permalink)
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Thanks Kimberly! I hope it holds true for me. I have BCBS of California PPO.

Crossing my fingers!
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Old 03-13-2008, 07:17 AM   #15 (permalink)
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So Thann any updates?/ did they say yes I and I just missed the post somewhere?
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