Question:
WHAT ARE BCBS-HMO REQUIREMENTS FOR GETTING APPROVED FOR THE SURGERY?

   — QueenSan (posted on February 3, 2005)

February 2, 2005
BLUE CROSS HMO REQUIRES THAT YOU HAVE A REFERRAL FROM YOUR PCP OF COURSE AND THAT YOU EITHER HAVE A BMI OF 40 OR GREATER OR A BMI OF 35 WITH LIFETHREATNING CO-MORBITITIES. IT'S PRETTY STANDARD ACROSS THE BOARD . THE HMO AND PPO REQUIREMENTS ARE NO DIFFERENT EXCEPT THAT YOU NEED TO SECURE A REFERRAL TO SEE THE SURGEON FOR AN HMO. MY BMI WAS BELOW 40 AND I HAVE POLY-CYSTIC OVARY SYNDROME, SHORTNESS OF BREATHE, AND URINARY STRESS INCONTINENCE ANDE I GOT APPROVED IN LESS THAN 3 DAYS. IF YOU WOULD LIKE MORE INFO SEND ME AN EMAIL AND WE CAN DISCUSS THIS FURTHER.
   — shakira M.

February 3, 2005
Check with your insurance to see if you require 6 months of visits with a nutritionist. I have BCBS, HMO but my group is a Sante group, which requires the visits with the nutritionist. I have to lose 10 percent of my body weight or under the care of the nutritionist for 6 months. Good luck!
   — goddesschyyld