[Cherri]

I was wondering if anyone has BCBSIL? I have read on some posts, and some other message boards that people have problems with them and that is my ins. co. If anyone on here has this ins. and has had any problems with them when it comes to approving the gastric bypass please let me know. Thanks!

[fr1endly2]

sorry i had empire BCBCPPO and had no problems.

GOOD LUCK!

[camick]

I have been trying to get it approved for 8 months. I am on my 3rd doctor trying to get the documentation they want.

[Kat]

Hey Friendly...I have Empire now too. Any pointers?

[MsVickie]

Hi ya. I dont have BCBS now but I talk with insurance companys on a daly basis. This is what I would do if i was in yalls shoes. CALL THEM ! LOL ask them for the criteria that a person would have to meet before being covered by gastric bypass. If the person your talking to dosent answer your questions..hang up and call back. You will be conected to another person. And document the call. The name of the person and date and time. If your lucky you can request a copy of the critera sent to you by fax or mail. I will have to learn to start a new thread to include all this info and what times are now compared to just 2 years ago when it comes to insurance companys and covering this surgery. So my advice to anyone call em your self first and see what your up against. The fight to get what you deserve.

[camick]

I have had every possible problem. the all lie, and if you talked to many. almost everyone there has had Gbs and apparently only the people who don't work for BCBSIL have the problems. Do you have a self funded plan?

[camick]

Do you know what other message boards you have been on. I am collected up info on BCBSIL. I don't think that they operate ethically. they are always adding something for you to try. and after you try it, it isn't good enough. I wonder if anyone has every been approved by them. and how do they get away with what they are doing.

[MsVickie]

Originally Posted by camick

Do you know what other message boards you have been on. I am collected up info on BCBSIL. I don't think that they operate ethically. they are always adding something for you to try. and after you try it, it isn't good enough. I wonder if anyone has every been approved by them. and how do they get away with what they are doing.

Every state has a Insurance Commisner. Look up yours and make a complaint. You can ask if they have had other complaints. Be ready with what your complaing about. They will look into it. And yes the only person the insurance company is scared of is them. Give it a try and let me know.

[krs2009]

It took me a year, but know I know the logic they use to get approved. In many ways, I understand why they took this approach. The people who review are very candid and helpful when you quiz them on what the hang up is. I found the Medical Director physician willing to assist me when my Benefits Dept asked her to call me. As a result of their help, I was approved and had my surgery on Feb 8 after 5 appeals.

[camick]

really, they told me I couldn't talk to the Medical director. Is it a company plan. are you the employee? any direction would be great.