bcbs michigan

nazzy · 05-31-2008, 04:24 PM

hey all,ive got bcbs michigan and im on a 6 month diet with june 1st being the 5th.6th im making my appt with lap band dr,ive tryed finding out if i need to get a psycho thing and nutrinest person before summiting to bcbs.oine thing i did find out my drs appt have costed me 89 dollars just to be on diet and get weighed,i guess bcbs doesnt have co pay after so many,so its ended up costing us alot.more thann i thought,i know lap band dr theres a 400 pe opt thing cash u must pay to im wondering if my fills will cost me much?anyone has bcbs michigan plz lmk,i call insurance and after 45 mins still didnt find out what costs what,kinda upset in louisana,my hubby general motors if anyone else is plz lmk thanks

new_jewel · 05-31-2008, 04:29 PM

where do you live? I have bcbs of mi and was told that they stopped making you do the 6 month diet....i went through the ypsilanti bariatric center down by ann arbor and they took care of everything..only thing i had to have was a psych eval.....i had my intial consult on april 7th, and was banded on may 7th...cant ask for more than that lol.

nazzy · 05-31-2008, 04:37 PM

wow,i sure will be mad if i didnt need to go all these months i have records going back yrs saying i ve been overweight,i went to a seminor here and thats what the nurse told me my insurance said i live louisana,im going monday for another weigh in 89 dollars again,then i think im gonna make the lap band dr appt,i dont know why hes office would have told me that my isuance said i had benifits but had to go on a 6 month diet by a dr?when maybe i didnt have to?hate to think ive been wasting all this money each month when i didnt have to,lmk what any thinks should i go see the lap band dr now beofre i finsish the 6 month thing i have appt monday again another 89 to weigh in.so u pay a co pay?for some reasson gm gave 5 co pays then after that none weird,lmk

new_jewel · 05-31-2008, 04:49 PM

my BCBS PPO insurance was affective on april 1st through my employer so i called and made an appointment with the barix center not too far from me due to wanting to go somewhere that specializes in the lap band...when i spoke to the lady on the phone she told me that because the facility is contracted with bcbs, all i would have to do is meet criteria and i would be approved...i have a bmi of 54 (i think) and i have sleep apnea and joint pain.....so i went to my initial consult, paid my $10 co-pay and was told i needed a psych eval, so i went for my eval paid $180 due to my insurance only covering mental health at 50%, a week later the barix center called me to schedule my surgery, i had my pre-op screening on april 30th, and my surgery on may 7th...now i have heard that people with bcbs that have bmi under 50 have to jump through more hoops to get approved, but even if i had to do more test, i know i wouldnt have had to do the 6 month diet before. i actually called and asked the center about it cuz i was worried that i would have to and not have known and she assured me that they changed the rules on that and that i no longer had to....if i was you i would search around for a bariatric center that is contracted with your insurance company...it makes the whole process much smoother....best of luck :)

SHARONCRIST1955 · 05-31-2008, 06:31 PM

Hi you Michiganders. I used to be from Michigan born and raised in Eastpointe area. I now live in Idaho. I only had to lose 15 lbs. It was great. I feel great since I had my Lap Band surgery on March 17,2008

nazzy · 06-07-2008, 01:58 PM

hi well here in louisana u do have to go on the 6 month diet with bcbs i called and asked,but i have my appt june 26 here to see the lap band dr and see what else i need so hopefully wont take to much longer the erest i need to do,lmk if anyone else has bcbs losuisana,or anyone how they is doing ?