Question:
has any one been approved

has any one been approved for surgery with bcbs of MI ppo (community blue) if so , how long did the approvel take. and did the dr. office give you a date befor approvel?    — Dana C. (posted on May 27, 2002)

May 27, 2002
Hi Dana.I have BCBSM community Blue. I haven't gone for my first consultation yet, but heard that this insurance is really good as long as you have all your medical records and a letter of medical necessity from your PCP. There are many people on this site that have gotten approved for surgery that have that same insurance. Good Luck! :o)
   — Samar M.

May 27, 2002
Hi Dana, It is my experience, if your Dr. is with-in network, BCBS gives the list of requirments and it is up to the Dr. to make sure he covers them. If he follows the guidelines, your surgery will be covered. I also have BCBS Community blue and have talked to Lisa in the Lansing office. She is very helpful. Answered many of my questions and is working on getting some of the out of pocket expenses covered. Hope this helps. Jennifer
   — Jennifer D.

May 28, 2002
Blue Cross/Blue Shield of Michigan is one of the best insurances to get approved for WLS. My wife had BC/BS and had no problems. I had Anthem BC/BS of Indiana/Ohio and it was a nightmare. As long as you go to a participating provider, and meet basic requirements, BMI of 40, comorbidities, etc, it is usually a breeze. However, BTC is considered out-of-network and it is harder to get approved through them.
   — Dell H.

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