ThinnerTimes Logo
Connect with Facebook
 
Register Groups Blogs Photos Chat Members Calendar Search Today's Posts Mark Forums Read Help Donate
  ThinnerTimes Forum
 

Advanced Search
Member Search
 
 

Go Back   ThinnerTimes - Gastric Bypass Forum, Lap Band Forum, and Vertical Sleeve Gastrectomy Forum > General > Insurance

Notices

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

Reply
 
LinkBack Thread Tools Search this Thread Display Modes
Old 03-27-2008, 02:00 PM   #1 (permalink)
Senior Member
 
Grammy O's Avatar

Join Date: Feb 2008
Location: Placentia, CA
Surgeon: Dr. Mir Ali, Orange Coast Memorial
Age: 55
Posts: 590
Grammy O is on a distinguished road
Question BCBS (Wellmark) Anyone????

For those of you who have had surgery already and well may those that haven't either.......my question is this.......

Wellmark BCBS is requiring for approval for WLS, one must have had 3 years Dr. supervised diet. 3 YEARS!!!

Has anyone that has this been able to get around this? I have had at least 1 year of weight management with my Endocrinologist already. But 3 years seems to be a "forever" time.

I have everything else ready to go to the insurance company but this!

Any info?
__________________
*************
Blessings,

Surgery date was July 21, 2008
Highest/Pre-surgery/Current/Goal
313.6/292.2/226/150-135

BMI was 52.1 as of 9/23/08 is 41.4
I'm a loser!!!!!

Olga
"GrrramOBear"

Happiness keeps you sweet, trials keep you strong. Sorrows keep you human, failures keep you humble. Success keeps you glowing.
Grammy O is offline   Reply With Quote
Old 03-27-2008, 07:10 PM   #2 (permalink)
Senior Member
 
BillH's Avatar

Join Date: Feb 2008
Location: Suburban Chicago: Downers Grove, IL
Surgeon: Dr. Jeffrey Rosen
Age: 57
Posts: 471
BillH is on a distinguished road
Default

Olga:

I've been approved for surgery on April 16th through HIGHMARK (not WELLMARK) BCBS (of Pennsylvania). I had to do a six month medically supervised diet, with a whole bunch of tests, psych approval,etc. but NOT three years! Wow, that sounds awful.
BillH
__________________
GymRat #91
"I WILL review TT more frequently! I WILL, I WILL,
I WILL..."

A Favorite quote:
You've got to be kind, dammit!"
(from Kurt Vonnegut's writings)

Check out www.uccdg.org
It's my life!

largest known wt: 379 lbs.
surgical weight, 4/16/08: 298 lbs.
current wt, 7/07/09: 203 lbs.
Doctor's goal weight: 200 lbs.
my personal goal: 160lbs
BillH is offline   Reply With Quote
Old 03-28-2008, 06:50 AM   #3 (permalink)
Senior Member
 
Grammy O's Avatar

Join Date: Feb 2008
Location: Placentia, CA
Surgeon: Dr. Mir Ali, Orange Coast Memorial
Age: 55
Posts: 590
Grammy O is on a distinguished road
Default

Yeah.......I've done all the other things that were required before submitting to insurance except that. All the other tests won't be done until I get approval, but looks like at this rate who knows if/when that will be.

I'm glad that you have your's scheduled and look forward to hearing about all your successes.

Blessings,
__________________
*************
Blessings,

Surgery date was July 21, 2008
Highest/Pre-surgery/Current/Goal
313.6/292.2/226/150-135

BMI was 52.1 as of 9/23/08 is 41.4
I'm a loser!!!!!

Olga
"GrrramOBear"

Happiness keeps you sweet, trials keep you strong. Sorrows keep you human, failures keep you humble. Success keeps you glowing.
Grammy O is offline   Reply With Quote
Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
BCBS of Illinois ladytonya Insurance 3 03-18-2008 10:15 PM
BCBS of Michigan Update 'thann Insurance 14 03-13-2008 07:17 AM
BCBS of MD szmalik Insurance 8 01-21-2008 06:42 PM
Bcbs Hmo California Momofthree Insurance 2 01-09-2008 05:02 AM
How can I get BCBS to pay? SDeRossett Insurance 11 06-10-2007 05:10 PM


All times are GMT -7. The time now is 03:19 PM.



Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2009, Jelsoft Enterprises Ltd.
Search Engine Optimization by vBSEO 3.2.0
Owned by ThinnerTimes Gastric Bypass