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

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Old 03-13-2008, 08:32 AM   #1 (permalink)
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Default BCBS of Illinois

We live in NC, but DH has BCBS of Illinois. I had BCBS of NC and had no trouble getting approval. Effective Jan. 1, his employer put an exclusion on his policy against WLS. Anybody know anything about these exclusions? Is there away around them? Any info would be greatly appreciated!
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Old 03-14-2008, 05:37 AM   #2 (permalink)
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my dh has bcbs and his employer also put that exclusion in. I called bcbs and they said no way would they pay it with that. it stinks!
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Old 03-14-2008, 07:08 AM   #3 (permalink)
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Yeah, it really does stink. I did some more reading on here and it seems that there have been people who have tried to get around it with no luck. DH needs to get a new job! I thought about putting him in my insurance but we just can't afford it. Bummer. He really wants the surgery now that he's seen that I've done well. Grrrrrrrrrrrrrrrrr.
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Dr. Roc Bauman, Concord, NC
Surgery date: December 11, 2006
Lap Banded RNY, aka Fobi Pouch
457/447/220/160
highest/surgery/current/goal

http://tickers.TickerFactory.com/ezt...6Dg/weight.png

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Old 03-18-2008, 10:15 PM   #4 (permalink)
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Default BCBS Illinois

Quote:
Originally Posted by ladytonya View Post
We live in NC, but DH has BCBS of Illinois. I had BCBS of NC and had no trouble getting approval. Effective Jan. 1, his employer put an exclusion on his policy against WLS. Anybody know anything about these exclusions? Is there away around them? Any info would be greatly appreciated!
Hi Tonya,
I am BCBS Empire Blue, when I was first fighting for the wls I kept getting turned down, I dont know what the problem is with BCBS Illinois, but the doctors kept Assuming I was of Illinois carrier I guess since I live in Illinois, but once we caught the mistake and it was sent to the right carrier it went right through. It makes no sense that you guys have insurance from here, then again I guess it makes no sense that our BCBS is out of Middletown New York what the heck
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