Question:
has anyone been aprove from blue cross
has any one been approve for plastic surgery from blue cross blue shield of illinios. — HELENNOVOA123 (posted on September 17, 2008)
September 17, 2008
I was approved from blue cross blue sheild federal, I don't know if it is
because I am a federal employee or not but I was approved the first time.
I also know that my surgeon sent 31 pages of information when they sent for
approval. You can try to call your blue cross ins. and ask them what their
requirements are for the surgery and see if you have met them. I thought
that I only needed to see the dietician 3 times but it turned out I had to
see her 6 times and I had to see a cardiologist and a pulmonary specialist
to.
— sweetpea616
September 21, 2008
I hope to be!!! My surgeon doesn't think it will be an issue. Of course it
will be just removing skin etc.... not the whole tummy tuck or lower body
lift like I would love. I go back in March 09 so I will find out then. I
would love to hear what happens with you!
— Fluffee
September 21, 2008
It took me about a year and a half to get approved from BCBSIL. I had to do
the 6 month medically supervised diet, Nut and Psch evals. I made my own
form for the Doc to fill out every month as BCBSIL does not give specific
guidelines for the doc. Then they told me the information wasn't complete
enough from the doc. Then they told me that I didn't supply enough medical
history. Then they told me that Jenny Craig was not an acceptable diet,
when it was right there in black and white on my policy details (READ your
policy specifics for Bariatric coverage). Stall...stall...stall... I kept
notes of every conversation, person's name, date and time. Finally as all
of my reqired info was about to expire (had a 2 year window BCBSIL PPO) and
I had jumped through multiple hoops at their request- I told them that they
were almost being cruel and maybe I needed to talk with an attorney. 2 days
later I was approved for Lap RNY. I'm not going to sugar coat it- I cried
and got very frustrated often. They made it pretty darn difficult because
in my opinion, they didn't want to pay for the surgery- period. Good luck
and if there's anything more you want to know, drop me an email.
— Lynda G.
September 21, 2008
I was approved within 1 week, I have bcbsil hmo. The (lapband) process for
me was very smooth. I started the process in 3/08. My surgery was 4/28/08,
post op 35 pounds. good luck!!!!
— savoy7658
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