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Old 09-16-2008, 12:54 PM   #6
TQUAD64
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Join Date: Sep 2008
Age: 45
Posts: 1,702
State: California
Re: Blue Cross Blue Shield of California...Question About Approval!!

Every story is different, but here is my information:

I have CALPERS BC/BS Net-Value, which covers bariatric surgery. My insurance required that I complete 6-months of verified weight loss with either a doctor or a nutritionist. Plus, a pysch eval. I completed all that and my primary care doctor sent the documentation to the insurance company. The insurance company approved me to see the surgeon at Alta Bates Hospital in Oakland, CA.

The surgeon has his own requirements, which include attending a 2-hour educational seminar and a 1.5 hour Pre-Op group seminar. Plus complete the medical history application packet. I have completed all that and I am waiting to meet with the surgeon.

The surgeon will decide if I am a good candidate for the procedure and will determine what other tests I need to complete. Then the surgeon submits paperwork to the insurance company for approval of insurance.
__________________
11/11/08 Surgery with a 10cc band
Weight 214, was 254 pre-op
First fill:11/11/08 3cc (lost .5cc from surgery fill)
Second fill: 12/10/08 1.5cc
Third fill: 1/14/09 1cc
Fourth fill: 1/28/09 1.5cc (lost 1cc from 1/14/09)
Fifth fill: 3/17/09 1cc
Total 6.cc
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