Question:
Has anyone with this insurance been approved for WLS?

I called BCBS and they told me that it is covered, but only by meeting the AE Guidelines. I haven't heard of that before. I'm hoping they mean BMI and comorbities. My husband said one of his coworkers wives had it done a few months ago and our insurance covered it. He won't let me call the man and ask him, because he says that would be rude. My husband is very oppposed to me having this surgery, so I suppose I have to go through the steps and see if they will approve.    — D. K. (posted on September 16, 2003)

September 16, 2003
Blue Cross is known to be pretty good in approving this operation. The fact that your husband's colleague was approved is good ammunition for an appeal should they happen to reject you though, particularly if it they say it's due to an exclusion in the policy.
   — sandsonik

September 16, 2003
I have Bc/Bs keycare 20 of Va and I also have a low BMI and no co-morbs but I was approved with them in less than 6 hours so I can't complain. They seem to be very good if you have all your stuff ready. I went to my first consult @ 10.30am with my medical records and my diet list my bmi was 41.1 and they approved me by 2.30 that afternoon so just let your drs office do all the work and you should be fine! GOOD LUCK.
   — Mischief1212 A.

September 17, 2003
I have a suggestion, ask your husband to give your name and number to the man and ask him to see if his wife would be interested in talking to you about it. That is not being intrusive or rude and it would be up to her to decide if she wished to pursue contact. Good luck.
   — Arizona_Sun

Click Here to Return