Question:
Has anyone dealt with Blue Cross PPO-Prudent Buyer Plan

What is the first step to get surgery if this is your insurance?    — nicole30 (posted on January 21, 2008)

January 21, 2008
The good news is I have BC/BS PPO MA, and they will pay for either the RNY or Lap[-Band procedure. Your surgeon's office can tell you at your initial consult if your insurance covers a procedure, but I also wanted to make double sure so I called BC to make sure and to make sure fills for the Lap-Band would be covered. The main number for the insurance company is usually on your ID card. Good luck!
   — obeseforever

January 21, 2008
Hi, I have BC of California PPO (prudent buyer plan). it was extremely easy. I did make an initial call to the insur. plan...but as long as there is medical necessity, it should be good. It was extremely easy and approval very quick (48 hours)
   — hatda

January 21, 2008
I also have BC/BS PPO in California, and got approved rather quickly. So long as your doctors deem it medically necessary it is fine. I called in advanced because I kept hearing horror stories about people having to appeal their initial insurance decisions. Thankfully, I didn't have to go through that at all. Good luck! :)
   — [Deactivated Member]

January 21, 2008
Sorry, I forgot to include. The first step is to see a surgeon. They will give you a checklist of things you need to complete and once completed they will submit the claim to BC/BS.
   — [Deactivated Member]

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