BCBS of Fl...anyone?

This is a discussion on BCBS of Fl...anyone? within the Insurance & Financing forums, part of the Main Lap-Band® Surgery Forums category; I have BCBS of FL through my husbands work ( PPO) and was wondering who if anyone, has been aprroved. ...


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Old 07-01-2009, 03:57 PM   #1
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BCBS of Fl...anyone?

I have BCBS of FL through my husbands work ( PPO) and was wondering who if anyone, has been aprroved. I meet the requirments with a weight of 320 and a height of 5'5. Anyone info would be great!
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Old 07-01-2009, 04:42 PM   #2
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Re: BCBS of Fl...anyone?

Bear in mind that two different employers who both offer BCBS of Florida may have different coverages. If you haven't already, I suggest calling your insurance company and finding out exactly what their requirements are to be approved. Make sure you are even covered for weight loss surgery!
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Old 07-01-2009, 05:31 PM   #3
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Re: BCBS of Fl...anyone?

Quote:
Originally Posted by ParrotheadCathy View Post
Bear in mind that two different employers who both offer BCBS of Florida may have different coverages. If you haven't already, I suggest calling your insurance company and finding out exactly what their requirements are to be approved. Make sure you are even covered for weight loss surgery!
I agree with Cathy. I have BCBS of Florida PPO but I have really excellent coverage with Federal. They paid 85% and I only pay $20 per fill. I still had to pay my surgeon $1,000 up front for admin fees, the cost of my protein stuff, vitamins, etc. They pre-authorized me through my insurance so I knew exactly how much I would have to pay. It's the only way to go. The only drawback was I had to stay inpatient in the hopsital one night. It's considered 23 hours which means overnight. They would not budge on that. If you call the toll free number on the back of your insurance card, the customer service department will tell you what percentage you will pay. You will need the code number or diagnosis code though. I got that from my surgeon.
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