Re: Help - Anyone with BCBS Federal Standard Plan or any other Federal Insurance Plan Get Approved?

October 25, 2001

I've posted on several Yahoo chat groups and haven't received any messages.

I have my first consult with the surgeon on 10-31. I know for a fact that

RNY Proximal can be approved with no problems but I'm trying to find out if

anyone with BCBS Fed. Standard Plan has been approved for BPD/DS. I've only

heard from one gentlemen who lives in my State (NC) that was approved. My

BMI is 47, and his was much higher at around 60. I there is more than one,

I believe it would be worth it to appeal, ect. If not, well....

I had a heart attack 2 1/2 yrs. ago and have a coronay stent. I'm not crazy

about dumping which may cause heart palpitations, plus I don't like the idea

of having staples inside forever and ever.

If you have another federal insurance plan that has approved BPD/WS please

let me know. I would consider changing during open season to be able to get

the the BPD/DS surgery.

I would really appreciate your help.

Siri

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October 28, 2001

Fed Blue (standard option) paid for my DS. It depends on the state in

which you have surgery. I understand that Calif is the one where

BCBS won't pay. Fed Blue follows the exclusions and reimbursement

schedule of the state in which the provider is located, not the one

you live and work in (if they are different).

We're looking into getting the Lap DS approved by Fed Blue for my

SO. Let you know how that goes.

, Seattle

> anyone with BCBS Fed. Standard Plan has been approved for BPD/DS.

I've only

> heard from one gentlemen who lives in my State (NC) that was

approved.

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