Thanks for posting, I am interested in finding this information too.

On January 5, 2012 at 1:18 PM Pacific Time, bdocker wrote:I have Blue Sheild of CA but its PPO not HMO. Calling customer service takes a LONG time because all they want to tell you is that bariatric surgery is a covered benefit not what the requirements are. So if you can stop them from telling you what is covered and coerce them into telling you the requirement that is what you need to do.

Mine has a six month supervised weight loss but they are VERY open about any method of weight loss as long as it's supervised and you can provide records.

Brenda~

Brenda...agreed on customer reps...can call em 10 different times n gettin 10 different answers...me 3 TIMES before I got someone that gave a **** about me! I stuck with her throughout...including DENIAL
(back in them VSG pioneerin days) TO WINNING ON APPEAL...she was a blessin that gal...

BCBS of Cali...DOES NOT REQUIRE medically supervised weight loss inc. ALL PPO insurance cos...HMOs like KAISER....you can get even THEIR medically supervised Optifast m.s. diets WAIVED!!.... ...THE WHOLE STATE

its been found to be a WASTE OF TIME and MONEY....California Dept of Managed Health Care
and California Insurance Commision

SAYS SO!!

http://www.dmhc.ca.gov/aboutTheDMHC/org/boards/cap/Bariatric REV.pdf

KNOW yer policy! I have BCBS Cali...PPO!! never did ONE DAY of WL diet...That WAS over 3 yrs AGO!!

I did that and my PCP was thrilled!! Saved her the time from doing it and she just put it on their letterhead.  I will PM you the letter I wrote.

Nan

Hello Brenda,

I am actually working with the weight loss surgery center already to have my surgery just have to ofcourse do it all in steps so i was just wondering if anyone has had the same coverage as me and how long it took them to authorize and okay to do the next step...im just very impatient which is NOT a good thing...thank you all for your help :)