Question:
What are the BCBS of IL (PPO) WLS requirements?

I am unable to locate anything on their website, and I haven't received a plan description from them yet since coverage just started at the beginning of the year. Any and all help is greatly appreciated. Thank you!!    — Amanda W. (posted on January 13, 2006)

January 14, 2006
I suggest you call them. It is better to get the information right from the source than to get it elsewhere! Good luck!
   — Novashannon

January 14, 2006
I had BC/BS of Illinois with my last job. I was denied because although I have a high BMI, I have no documented co-morbs nor do I have 12 months of documented doctor supervised weight loss program history. They are very difficult to deal with unless you have all those ducks in a row. If you have three co-morbs or the 12 months, you probably won't have a problem, so I would suggest that if you can cover those bases ahead of time you'll be better off. It also is important to know if your individual company has any restrictions. I wish you the best of luck in your journey.
   — Anita

January 20, 2006
Hello Like the first person said, its best to call and ask, but, I do have BC/BS IL PPO. They required of me for approval (which is still pending BTW): 12 mos. doctor supervised weight loss attempt (includes seeing nutrionist every month, seeing personal trainer every 3 months, seeing the MD every month, and seeing a psychologist at the beginning of the 12 mos and end.) I am now waiting for approval. Supposedly my information was sent out 1/18/06. I followed their program to a t-as my surgeon's office has a program specifically tailored to meet their requirements. Read my profile for my info if you wish. But I will recommend starting right away, and sticking with it. it will give you valuable knowledge on yuor tool, how to eat properly, and support of course. I lost nearly 30 pounds! I am glad that I did the program, as well. Evan after all the waiting. I've been fat all my life, so 12 months was nothing to me! Good Luck!
   — Meghan R.

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