This is actually my second trip through the process... 

Two years ago I went through the process and was denied by BCBS-NJ.. The hospital group that I was going through did not help out alot and did not give much info.  It seems like when I was denied they pretty much just dropped me. 

BCBS denied me due to lack of a 6 month diet.   I had a PCP that did not believe in WLS.  Now the new group that I am working with is saying due to my size that they maybe able to get me by without the diet...  This is the biggest problem so far is the different stories that you get.  

This new hospital group is in network and they stated that it would be the 80/20 split in which I would be responsible for the 20% with no Deductible.   Not sure if this applies to the out of pocket max or not. 

Good Luck to you.

Update...

I just heard from the surgeons office today and they are saying that I am covered but I will be responsible for 20% with no deductible... 

Is this 20% of the total cost or does BCBS have a negotiated price that they go off of.
 

Cigna sucks. But follow everything to a "t" and then you can fight and appeal. I've lost four times, but I am still not giving up. My surgeon's office did a 6 month supervised diet at his office. I did lost a bit, and you may too, but you will still be MO, I assume. And you may gain it back, as we all know. You won't know unless you try!!!!

It raises my hope too! I am on NC state employee BCBS and I am in need of a lot of skin removal. 40+pounds of skin. I have dealt with issues of depression and I feel it coming on again. I don't think it is all due to my excess skin, but I know that it is one factor. One that I know how to alleviate. At my highest I weighed about 500 lbs. I am now at 210. I can't find clothing because my arms have so much excess skin that the sleeves don't fit. My grand daughter asked me  "why are your knees so big?" I wanted to cry. I have skin pooling and even my calves are baggy. I have come so far and I should be thrilled but I'm only sinking further into hopelessness. I don't know what to do. I know it's not gonna come to me, but I can't see where to go or what to do.       

Hi Everyone,

If you are trying to figure out what doctor to go to here is something I just had sent to me from another Web Site. First I need to say, I did a lot of research on which doctor was going to be the best for me.  After about 6 months of looking Dr. Aceves was by far the leader in so many ways.  I knew what excellent care I was going to receive.  I realize that some of you are price shopping around for the best price.  Honestly this is the ONE time in your life you shouldn't be price shopping.  There is a reason why "other doctors and other hospitals charge less."  You GET less care from them.

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Here is what someone sent me from another site. 
Screen Name from other site is "Her Moojesty"

This is what she posted.
"When you leave Jerusalem Hospital you get nothing except a box of Cipro, Naprosen, some antiacids, and a diet sheet.. No real instructions about follow up care whatsoever. Oh yeah, they have never heard of Universal Precautions either. Be certain to bring your own alcohol swabs, and have them handy, because when they spike your fluids bag or give you medication by IV push, they just cram the needle in the line, no alcohol used!!!!! It made my skin crawl. You won't see anybody using gloves much either. Only the lobotomist used them, never the post op nurses, who DID NOT speak English by the way. It's a miracle I came out of there without an infection, or worse. Of course, it has only been a few days. And, the sheets on my bed at the recovery house weren't "clean". Somebody's drain had leaked on them. OMG. I have never been so glad to get out of a place in my life."
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I hope that if you are sitting out there trying to figure out who you are going to have do your WLS that you will think of what she wrote.  She did pay less, but could have also received an infection or worse.

I have NEVER in my life been to any US hospital that was as clean as the one Dr. Aceves and his staff have.  This is why I am so PRO Dr. Aceves because it is a established fact that he is the best and you are in excellent hospital along with Dr. Aceves and his staff to take care of you.

Please be safe and make the right choices for yourself.

Hugs,
Suzanne