- HEALTH TRACKER
link is above for their policy
i am looking at FEP BCBS 2012 as i type this and it looks like nothing has changed since 2011. they have the same requirements. if you meet all their listed requirements and have a doctor write you a letter that this is a 'medicaly necessity' then the surgery should be a breeze to cover.
FEP BCBS approved my surgery in dec 2011 and i was a light weight with no comobidites. i just followed their guidelines and got my doctors to do the rest. its a long long process but just stay organized and get your duckies in a row and it should be easy:) good luck
from what i have found the guidelines do not apply to state guidelines. fepbcbs has their own set of guidelines, requirements, coverages, ect.
when applying for approval they did try to follow the guidelines of utah state which is regence bcbs. i contacted them and told them to stop appliing me to the state insurance and only to federal. this solved my issues when they got confussed.
i did not meet the requirements to have surgery in utah (regence bcbs) but since i federal these did not apply to me, hence i was covered under a different set of requirements (which i met all the requirements)