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Old 03-27-2007, 11:18 AM   #1 (permalink)
Cub Reporter
 
Cherri's Avatar
 
Join Date: Mar 2007
Location: IL
Posts: 74

Weight Statistics

03/03/2008
Surgery Date:
5' 4"
Height:
276 lb
Start Weight:
160 lb
Current Weight:
145 lb
Goal Weight:
116 lb
Weight Loss:
15 lb
Lb Left to Lose:
42.0289855072 %
% Lost:
10/2009
Goal Date:

Body Mass Index
47.3701171875
BMI Start:
27.4609375
BMI Current:
24.8864746094
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default Does anyone have BCBSIL?

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!
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

   
Old 03-27-2007, 11:56 AM   #2 (permalink)
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,808

Weight Statistics

June 1, 2005
Start Date:
5' 5"
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51.5810650888
BMI Start:
27.7872189349
BMI Current:
26.4560946746
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Default

sorry i had empire BCBCPPO and had no problems.

GOOD LUCK!
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Old 03-27-2007, 06:34 PM   #3 (permalink)
Whipper Snapper
 
Join Date: Mar 2007
Location: Flagstaff
Posts: 14

Weight Statistics

which time
Start Date:
5/4/2007
Surgery Date:
Height:
284 lb
Start Weight:
247 lb
Current Weight:
140 lb
Goal Weight:
37 lb
Weight Loss:
107 lb
Lb Left to Lose:
13.0281690141 %
% Lost:
4/11/2008
Goal Date:

Body Mass Index
50
BMI Start:
42
BMI Current:
24
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I have been trying to get it approved for 8 months. I am on my 3rd doctor trying to get the documentation they want.
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Old 03-27-2007, 06:38 PM   #4 (permalink)
Kat
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Join Date: May 2006
Location: FL
Posts: 2,185

5/17/06
Start Date:
5' 6"
Height:
Default

Hey Friendly...I have Empire now too. Any pointers?
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Old 03-27-2007, 06:54 PM   #5 (permalink)
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Join Date: Mar 2007
Location: Floyd County Virginia
Posts: 10,116
Blog Entries: 6

Weight Statistics

September 19th 2007
Start Date:
September 19th 2007and June 18,2012
Surgery Date:
5' 10"
Height:
363 lb
Start Weight:
192 lb
Current Weight:
190 lb
Goal Weight:
171 lb
Weight Loss:
2 lb
Lb Left to Lose:
47.1074380165 %
% Lost:
When I get there again
Goal Date:

Body Mass Index
52.0793877551
BMI Start:
27.546122449
BMI Current:
27.2591836735
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

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.
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Tough people do...



This Ribbon is for our Lady Lisa and all the women that fight this ugly disease.
RIP Jerry my friend



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Old 03-27-2007, 07:43 PM   #6 (permalink)
Whipper Snapper
 
Join Date: Mar 2007
Location: Flagstaff
Posts: 14

Weight Statistics

which time
Start Date:
5/4/2007
Surgery Date:
Height:
284 lb
Start Weight:
247 lb
Current Weight:
140 lb
Goal Weight:
37 lb
Weight Loss:
107 lb
Lb Left to Lose:
13.0281690141 %
% Lost:
4/11/2008
Goal Date:

Body Mass Index
50
BMI Start:
42
BMI Current:
24
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

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?
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Old 03-27-2007, 07:46 PM   #7 (permalink)
Whipper Snapper
 
Join Date: Mar 2007
Location: Flagstaff
Posts: 14

Weight Statistics

which time
Start Date:
5/4/2007
Surgery Date:
Height:
284 lb
Start Weight:
247 lb
Current Weight:
140 lb
Goal Weight:
37 lb
Weight Loss:
107 lb
Lb Left to Lose:
13.0281690141 %
% Lost:
4/11/2008
Goal Date:

Body Mass Index
50
BMI Start:
42
BMI Current:
24
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

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.
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Old 03-30-2007, 10:10 PM   #8 (permalink)
Seasoned Veteran
 
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Join Date: Mar 2007
Location: Floyd County Virginia
Posts: 10,116
Blog Entries: 6

Weight Statistics

September 19th 2007
Start Date:
September 19th 2007and June 18,2012
Surgery Date:
5' 10"
Height:
363 lb
Start Weight:
192 lb
Current Weight:
190 lb
Goal Weight:
171 lb
Weight Loss:
2 lb
Lb Left to Lose:
47.1074380165 %
% Lost:
When I get there again
Goal Date:

Body Mass Index
52.0793877551
BMI Start:
27.546122449
BMI Current:
27.2591836735
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Quote:
Originally Posted by camick View Post
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.
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Remember you should always check with your OWN Dr always...before taking my advice. We both with benefit doing it that way!!

Remember
Tough times never last
Tough people do...



This Ribbon is for our Lady Lisa and all the women that fight this ugly disease.
RIP Jerry my friend



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Old 03-31-2007, 09:04 PM   #9 (permalink)
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Join Date: Feb 2007
Posts: 5

Height:
Default I have BCBS of IL, and have had WLS

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.
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Old 04-02-2007, 09:06 AM   #10 (permalink)
Whipper Snapper
 
Join Date: Mar 2007
Location: Flagstaff
Posts: 14

Weight Statistics

which time
Start Date:
5/4/2007
Surgery Date:
Height:
284 lb
Start Weight:
247 lb
Current Weight:
140 lb
Goal Weight:
37 lb
Weight Loss:
107 lb
Lb Left to Lose:
13.0281690141 %
% Lost:
4/11/2008
Goal Date:

Body Mass Index
50
BMI Start:
42
BMI Current:
24
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

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.
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