Question:
Anybody dealt with BCBS of Texas RISK POOL?

BCBS of Texas has a written exclusion policy for the surgery. I'm not sure about the risk pool situation. Is that under BCBS or is that a totally seperate company? Does anybody have a sample appeal letter that I could see so I can write one for myself?    — Courtney G. (posted on October 13, 2002)

October 14, 2002
I have BCBS of TX Choice Plus PPO. They gave me absolutely no problems approving me for this procedure. I was told the exclusion was for obesity not morbid obesity. I would say call up and ask about it. Make sure you are talking to someone who knows what theya re talking about though. Good Luck!
   — Red T.

October 14, 2002
I have BCBS of Texas PPO and didn't have any problem getting approved, except that the paperwork kept getting lost in their office. Once I got a name and had the information faxed directly to that person, my approval letter came less than a week later. My BMI was 44, and I had a couple of co-morbidities. No extra information was requested.
   — beryl

December 17, 2002
the new insurance books have the surgery listed for 2003,, so blue cross blue shield will pay for the surgery after jan. 1st, 2003
   — itsmekaren

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