Quote:
Originally Posted by nursekathy2u  Hi,
I do Bariatric surgery insurance approvals for a living. I work in the DFW area. BCBS Fed DOES NOT require a 6 month diet. They don't require psych eval, or nutrition appt either. When I submit to BCBS I always have the same nurse call me back for clinical info. She only asks current height, weight and BMI and any co-morbid conditions. They won't give you an approval ahead of time for outpatient surgery so we always do our Lap Bands inpatient for BCBS Fed patients so we can get the pre approval done. If you can get in to see someone and get them to get you submitted quickly you should be approved in just a few days.
Good Luck!
Kathy |
You are right on the money! Thank you for clearing it up! You put all the pieces of the puzzle together for me. Thanks
I heard that if it is done out-patient.... you are also responsible for some of the cost of the band itself. If it is done inpatient you are not. I asked the lady today about that...and she said their clinic requires it to be inpatient so not to worry. She said I would get the approval in like 3 days once it is submitted. Does that sound right Kathy?
I guess my clinic is going to do the psych and nutritionist as their requirement...which is not a big deal. She said I can do all that when I have my first appointment with the surgeon.
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11/2008
12/2008
10/2009Started Pre-Op Liquid Diet 12/3/2008 (1st appt)
Insurance approved 12/9/08
Surgery Scheduled 12/30/2008 -
