Question:
I have BC/BS - the Federal plan; I am at least 120 lbs. overweight, only comorbiditi

are reflux, back, hip and knee pain. Is that enough to qualify?    — YvonneBryant (posted on May 17, 2002)

May 17, 2002
According to Dr. Roll's office in VA, if you have no comordities, but have a BMI of at least 40, you will almost automatically qualify. I have not yet been able to confirm this since my first consult is 30 days away, but my understanding is BCBS FEP is good about the surgery. Take care.
   — tmcdermott

May 17, 2002
When your PCP writes the letter of recommendation, have him/her mention your current health problems and THEN approach it in a PREVENTIVE manner, such as diabetes is in the family history and is lurking around the corner, etc. I too have BC/BS Federal govt.-wide plan and they don't pre-approve but I've never heard of anyone who didn't pay out after the surgery. You can research our plan on this site and you'll see. Good luck on your journey.
   — blank first name B.

May 17, 2002
BC/BS FEP paid for my OpenVBG last June (2001). I was 340 lbs, BMI 47, and a couple of comorbidities. Then - day before yesterday (May 16) I had my Abdominoplasty - paid for by BC/BS FEP also....(yes I'm home and feeling good - very sore - but otherwise great!)
   — Cathy J.

May 18, 2002
I had BC/BS Federal and they paid for my RNY last July with no problems. I was 27 years old, 266 pounds, and my only co-morbidities were back and knee pain, shortness of breath with exertion, and family history of heart disease and diabetes. I think they look at it as preventative. You should have no problem. Best of luck to you.
   — Cory F.

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