Question:
I talked to BC/BS yesterday and

the representative told me that there is only ONE co-morbidity payable, making the surgery a medical necessity under BC/BS. When I asked her what that was, she said she could not divulge that information. ( TOP SECRET) Does anyone out there happen to know what co- morbidity that would be ? Thanks for sharing information on this web-site.    — Kay R. (posted on January 5, 2000)

January 4, 2000
I think they are giving you the run around. Ask for a bebefit book. It will explain the coverage. I have BCBS of NC I have high blood pressure, BMI 40, othopedic problems in both feet, migranies. I was covered without any problem. Good luck. Lou Ann
   — Lou Ann J.

January 5, 2000
Kay......I Too have BC/BS and I was denied. Reason stated: That I currently have no life threatening illness from obesity,imediate or short term. I have very high blood pressure and joint pain. however they said that joint pain is not life threatening. I am now in the process of an appeal, I am using the B/P as my only hope Good luck to you.
   — STAR W.

January 5, 2000
I have BC/BS and I didn't have any life threatening problems aside from the fat. I had pain in my joints, incontinence, and a family history of heart attacks. Of course, since we don't see the letter that is sent to the ins co who knows what is on it. But I got approved 4 wks later.
   — Susan F.

January 5, 2000
I have BC/BS of Michigan. My surgeon gave me the procedure code of the surgery to call and see if they would cover it. I called BC/BS, gave them the code and was told yes, it was a covered benefit, but with only ONE diagnosis code. I gave the representative the diagnosis code my surgeon had given me, praying it was the right one, and it was. It was the diagnosis code for obesity.
   — Tammy S.

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