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AMoody
on 4/7/12 2:30 am - Mayville, MI
VSG on 02/06/12
Topic: RE: Blue Care Network of Michigan
As far as I know I do not have a co pay.. I had surgery on Feb 6th and so far all has been paid..even so from the bill that I seen a $1,000 isnt bad for a $48,000 dollar surgeryYIKES..Good luck.  Did you have to do the 6 months drs diet? You HAVE to go 1 x every month or else you have to start all over. Ask me how I know..its not 1 x a month but every 4 weeks!!!!! if your a day or two late into getting to your apointment  you start all over..Good luck
          
H.W 247 L.W 170 C.W 238 G.W 145
     
          
(deactivated member)
on 4/7/12 1:12 am - Romulus, MI
RNY on 04/25/12
Topic: RE: Blue Care Network of Michigan
I know that this post was from last August, but can I ask you a question?
I have BCNM and my copay is $1000 for the bariatric surgery. Dis you have to pay the copay on the day of your surgery or were you billed by the hospital for it?
My surgery date is 4/25/12 and I was told by the Surgery coordinator that I have to bring my $1000 copay with me when I check in on my surgery date.
(deactivated member)
on 4/7/12 1:03 am - Romulus, MI
RNY on 04/25/12
Topic: Bariatric Co-Pays
 My RNY is scheduled for April 25, 2012 at DMC Harper in Detorit, Michigan. I was told by the surgery coordinator that on the day of my surgery that I am required to bring the $1000 copay with me.
My insurance company BCNM told me that it would be billed to me after my surgery from the hospital and that I am not required to pay the copay upfront.
Has anyone else out there had to deal with this situation? My friend had her surgery and paid off her co-pay within 6 months.
I can pay the money, but I thought that this was a strange thing that was on the list of "things to bring for your hospital stay" paperwork from the surgery coordinator.
JillieJill
on 4/6/12 10:38 am - NJ
Topic: RE: BCBSNJ....PLEASE PLEASE HELP ME...TIME IS SHORT !!!
 Yes I did. In fact I just had my surgery this Past Monday. I didn't have any issues with bcbs the only issue I have heard of is having to attend nutrition counseling. Otherwise it was smooth sailing.  Good luck and let me know how you make out. 
Chrislove
on 4/6/12 10:04 am
Topic: RE: BCBSNJ....PLEASE PLEASE HELP ME...TIME IS SHORT !!!
did you get approved?  I am with bcbs now and I am trying to get approval?  Any advice

MarySandra
on 4/5/12 5:53 pm
Topic: RE: Anyone have AvMed??? (State Fl. Employee)
I agree with steve, better contact your surgeon to find out more about AvMed florida.
bearomar04
on 4/5/12 12:40 pm
Topic: RE: BCBS Healthselect State of Texas employees

Please note the following from BCBS requirements.  It says consective months - do not miss one month or you may need to start over.  You know, I would lose 2 or 3 pounds and gain it back through out the the year.

  • You must have documented active participation in a comprehensive, non-surgical weight reduction program (for example, the BCBSTX weight management program) for at least 12 consecutive months during the 24 months before the date you apply for surgery
Simone B.
on 4/5/12 6:45 am - Corpus Christi, TX
Topic: RE: BCBS Healthselect State of Texas employees
Wow..yes this helps a bunch. I could never find anything online that said what 12 month program they would accept, then I began to worry that if there was a small amount of weight loss following a program that they might still deny someone....I'll have to meet with my PCP and see if he is willing to do this....thank you so much for the information!
bearomar04
on 4/4/12 12:00 pm
Topic: RE: BCBS Healthselect State of Texas employees
I used my PCP.  I went to him once a month and I was paying that copay monthly.  I had a form that I had made up (from information I got when I was researching),  and I had him to complete it each time. I tried to get in 18 to 20 days each month but sometime there was problems where they were not open or I just could not make there.   It was never at the end of the month.  (I hope I am not too confusing.  I did this for thirteen months - so that there would not be a problem with the number of months.

This form was titled Diet and Exercise Program Progress Note.  I had the following information: Patient is following a ____ kcal/day diet; Patient is participating in the following exercise regimen:____; (walking, swimming, Curves, Yoga, Aerobics, Gym membership, Vitals  Height__ Weight__  HR__ BP__; Changes in wiehgt since last visit___pounds (Lost, Gained, No change); Continue to follow a: ____ kcal/day diet, Other____; Continue to exercise:____;
Other:______

My specialist had a format but it was so simple that I chose not to use.   I just put together the form that worked for me.

 I hope this helps a little. 
Simone B.
on 4/4/12 12:48 am - Corpus Christi, TX
Topic: RE: BCBS Healthselect State of Texas employees
Congrats..I am so glad to hear that someone completed the whole things. My problem is what 12 month weight loss program did you use???
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