Question:
Did anyone else get the message that all surgeons are refusing

   — MaryLisa D. (posted on November 18, 2002)

November 18, 2002
i am confused. refusing what?
   — Carol S.

November 18, 2002
I'm confused too. Please clarify. Thanks!
   — Laurie LOVES her DS

November 18, 2002
Do you mean they're refusing to accept BC/BS? Not surprised since this was discussed recently and BC/BS isn't covering the procedure any more (in a lot of cases.) I know there was a new addition to my policy w/ them and they're now excluding it. Didn't receive any e-mail about it though.
   — KelBurt

November 18, 2002
There are sooo many BC/BS policies and i am positive that mine still covers this surgery! I have heard that BC/BS in Florida will not be covering it but even that i am not sure of. I think you have to call the number on your card and just ask directly. I got my BC book for next year a WLS is still in it and covered. Thank God!
   — Carol S.

November 18, 2002
I don't know which bcbs you have, but I have bcbs hmo illinois, & I just got approved in about 1 week. No problems here! They just want to make sure that it is medically neccessary. :)
   — sue S.

November 19, 2002
Okay, I have posted this like a hundred times I think. BC/BS is trying to go to a national standardized plan. In my limitations and exclusions book, it specifically lists WLS is covered if the candidate is determined to be of MEDICAL NECESSITY. Go to your HR person. If you ask for the limitations and exclusions to your policy, they HAVE to provide it. NOW, this gets even trickier, because YOUR SPECIFIC BC/BS may cover WLS, but your employer may have turned down that part of the policy. Your employer has the final say, IF your Ins Co covers it to begin with. I have BC/BS of California PPO-High Option Plan through my co. Good LUCK!! I hope this helps you out... Love from Texas, Ann
   — Ann H.

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