BCBS of MN ...DS'er's

dustydeer
on 5/7/09 12:20 pm
I want to know if anyone here was approved by BCBS of MN PPO2 for a DS. I have all my ins requirements and the DS is only considered on a case by case basis meeting the criteria of 50+ BMI and at least 2 co-morbs(I have diabetes and hypertension), 6 month dr monitored diet attempt, AND at least 5 years of documented morbid obesity.
I meet all of these, and once 6 month diet it done, know I will get approved for RNY but want the DS.

Wondered if anyone ever had to battle my ins co before for this?

(I live in TN but have ins from MN so I am repeat posting this onto the DS board)
Diamond Girl
on 5/8/09 2:47 pm - Ham Lake, MN
*raises hand*

Yes, I won my appeal against BCBS of MN for coverage of the DS.
My BMI was under their requirement.

It was worth every ounce of fight!!!

Also, we have a law firm here in MN who is fighting these cases at their own expense. We benefit from having it all on their letterhead, their typing time, etc.

If you need help with an appeal, please PM me so I can get you the proper information.
dustydeer
on 5/11/09 3:11 pm
Thank you very much for this information. I do qualify by BMI, however, I assume I'll get an immediate denial and have to appeal. So I am pming you!
Most Active
Recent Topics
Valleyfair
kimtree · 0 replies · 2050 views
All In The Family
Darla S. · 1 replies · 1543 views
Any feedback on Park Nicollet?
SNCplus2 · 0 replies · 2997 views
10+ years out -
Darla S. · 2 replies · 2967 views
×