On January 5, 2012 at 1:18 PM Pacific Time, bdocker wrote:I have Blue Sheild of CA but its PPO not HMO. Calling customer service takes a LONG time because all they want to tell you is that bariatric surgery is a covered benefit not what the requirements are. So if you can stop them from telling you what is covered and coerce them into telling you the requirement that is what you need to do.
Mine has a six month supervised weight loss but they are VERY open about any method of weight loss as long as it's supervised and you can provide records.
Brenda...agreed on customer reps...can call em 10 different times n gettin 10 different answers...me 3 TIMES before I got someone that gave a **** about me! I stuck with her throughout...including DENIAL
(back in them VSG pioneerin days) TO WINNING ON APPEAL...she was a blessin that gal...
BCBS of Cali...DOES NOT REQUIRE medically supervised weight loss inc. ALL PPO insurance cos...HMOs like KAISER....you can get even THEIR medically supervised Optifast m.s. diets WAIVED!!.... ...THE WHOLE STATE
its been found to be a WASTE OF TIME and MONEY....California Dept of Managed Health Care
and California Insurance Commision
SAYS SO!! http://www.dmhc.ca.gov/aboutTheDMHC/org/boards/cap/Bariatric REV.pdf
KNOW yer policy! I have BCBS Cali...PPO!! never did ONE DAY of WL diet...That WAS over
3 yrs AGO!!