Re: Re: Blue Cross said no!!

[Guest guest]

le,

I have Blue Cross through my employer. It is not a

federal program. I would get out my benefits booklet,

go to the exclusions and see what it says. Too you

can call the number on the back of your card ask them

what kind of benefits they have for gastric bypass.

Sandy

--- le wrote:

> What kind of Blue Cross plan do you have? I have

> Blue Cross Blue

> Shield Federal Employee Program and I'm trying to

> find out if anyone

> has any information about how hard or easy it is to

> go through the

> approval process with them.

>

> le

>

>

> >

> > I got my offical letter today although I knew

> from a phone call I

> > made yesterday that I had been denied.

> >

> > " According to the information sent to us, the

> patient's condition

> > does not meet the medical criteria guidelines

> established by our

> > medical staff for the above procedure. We did not

> recieve a weight

> > or photograph for 2003 and 2004. We are unable to

> make a

> > determination with the faxed phtographs. Also the

> physcician

> > supervised weight loss and exercise program

> submitted was less

> than

> > six months. April 17, 2006 to September 28, 2006,

> is less than six

> > months. "

> >

> > I was told previously that I did not need a

> picture for 2003 so

> that

> > was a contradiction. I gave the insurance lady at

> the doctors

> office

> > a 2004 picture but apparently it was not clear

> enough. I have

> > another PCP appointment for this Thursday and we

> have found

> pictures

> > for 2003. See I was completely healthy in 2003 and

> 2004 and with 3

> > kids always going to the doctor I didn't go for

> check ups. Stupid

> I

> > know but..........

> >

> > I am going to send them a copy of every picture

> that has me in

> that

> > I and any of my friends can scrounge up. I am so

> unbelievably

> peeved

> > at these people. I am also asking my friends and

> family to write

> > letters testifying to my quality of life.

> >

> > I intended to post yesterday but it was just a

> very bad day. I had

> > to get Jasmine from school because she was sick

> and the head cold

> > that was letting me know if its impending arrival

> hit me full

> force

> > this morning.

> >

> > Keeping my chin up but it sure is hard.

> >

> > Sandy

> >

>

>

>

>

>

__________________________________________________

[Guest guest]

le,

I have Blue Cross through my employer. It is not a

federal program. I would get out my benefits booklet,

go to the exclusions and see what it says. Too you

can call the number on the back of your card ask them

what kind of benefits they have for gastric bypass.

Sandy

--- le wrote:

> What kind of Blue Cross plan do you have? I have

> Blue Cross Blue

> Shield Federal Employee Program and I'm trying to

> find out if anyone

> has any information about how hard or easy it is to

> go through the

> approval process with them.

>

> le

>

>

> >

> > I got my offical letter today although I knew

> from a phone call I

> > made yesterday that I had been denied.

> >

> > " According to the information sent to us, the

> patient's condition

> > does not meet the medical criteria guidelines

> established by our

> > medical staff for the above procedure. We did not

> recieve a weight

> > or photograph for 2003 and 2004. We are unable to

> make a

> > determination with the faxed phtographs. Also the

> physcician

> > supervised weight loss and exercise program

> submitted was less

> than

> > six months. April 17, 2006 to September 28, 2006,

> is less than six

> > months. "

> >

> > I was told previously that I did not need a

> picture for 2003 so

> that

> > was a contradiction. I gave the insurance lady at

> the doctors

> office

> > a 2004 picture but apparently it was not clear

> enough. I have

> > another PCP appointment for this Thursday and we

> have found

> pictures

> > for 2003. See I was completely healthy in 2003 and

> 2004 and with 3

> > kids always going to the doctor I didn't go for

> check ups. Stupid

> I

> > know but..........

> >

> > I am going to send them a copy of every picture

> that has me in

> that

> > I and any of my friends can scrounge up. I am so

> unbelievably

> peeved

> > at these people. I am also asking my friends and

> family to write

> > letters testifying to my quality of life.

> >

> > I intended to post yesterday but it was just a

> very bad day. I had

> > to get Jasmine from school because she was sick

> and the head cold

> > that was letting me know if its impending arrival

> hit me full

> force

> > this morning.

> >

> > Keeping my chin up but it sure is hard.

> >

> > Sandy

> >

>

>

>

>

>

__________________________________________________