Re: New List Member Peg

Posted June 23, 2000 · June 23, 2000

I am fairly new to this group and was thrilled to see that BCBS approved

your husband's surgery at 100%. I 've been dreading the reply from my

state employees BCBS group. I know appeals are possible but I would be

thrilled if they approved me on the first go around. How long ago was your

husband's surgery? I hope he is doing well. I have such mixed emotions

about this surgery. One day, I can't wait and then the next day I'm scared

to death. But in all reality, this is my last hope. I have gained and

lost weight all by life and I can't stand it anymore. Thanks for your ray

of hope today.

At 05:37 PM 6/22/00 EDT, you wrote:

>Yes, we have BCBS and it was very easy to get approved. We called up and

>asked if the Gastric bypass was covered under our plan. It was and they

told

>me the code they use for it. They said it would be 100% covered if it was

>MEDICALLY NECESSARY and then gave me a confirmation code regarding our

>conversation. (For future purposes should I have problems with approval).

>

>Well, my husband was 150 lbs over weight, his family has heart problems and

>his father has diabetes. My husband even had had prior gallbladder surgery

14

>years ago. We completed our packet, saw his PCP, got approved and had

>surgery all within 2 weeks!! (With 100% coverage from BCBS).

>

>Good Luck to you.

>

>Patti in MD

>

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