Question:
Does anyone have Trigon BCBS ppo and considering wls? If so what were the

requirements to qualify for this surgery. I have read that some require that I have doctor-documented diets within the last two years. I tried some prescription diet pills from doc about 4 yrs ago the pills gave me headaches and I ate anyway...I've tried several diets since then and none of them were physician monitored?? Would love to hear any suggestions/info regarding this matter. Thanks LynD    — lyndaleigh (posted on January 10, 2003)

January 10, 2003
I have Anthem BCBS, which either took over or used to be Trigon BCBS (perhaps look at Trigon BCBS on the web to see if your policy is now Anthem, too). Anyway, I was told that my BMI (44) alone qualified me for RNY surgery, they did not require any documentation of weight loss attempts. Good luck.
   — Catherine H.

January 10, 2003
Well I do know that they do NOT cover lap band surgery in any way, shape, or form. My claim for lap RNY was just submitted yesterday. Email me in a couple of weeks and I will let you know. They did tell me that they cover VGB and RNY if medically necessary.
   — lindadougherty

January 11, 2003
I have Trigon BC/BS, which is now Anthem BC/BS. Very easy approval. If you are more then 100 pounds overweight with a BMI of over 40, you'll be approved- no other information required. If your more then 100 pounds overweight and your BMI is NOT over 40, the BMI must be at leas 35 and you must have a co-morbidity (heart condition, high blood pressure or diabetic) and you will also be approved. I was approved the same day they received my doctor's paperwork.
   — Patty H.

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