Bariatric Surgery Exclusion Overturned!!!!!!

randy S.
on 6/2/11 12:24 am - brooklyn, NY
GOD BLESS BCBS Horizon Of NJ PPO. 
Just got a call.  Had the Bic Mac meeting and they decided to make me the exception and cover my revison even though they are not contractually obligated because of a bariatric exclusion in my husbands policy we just found out about..
Californis here I come!!!!
Love you guys.  Could nothave done it without you.
Hislady
on 6/2/11 4:32 am - Vancouver, WA
WOW that's amazing, it just never happens!!! I'm thrilled for you and hope all goes well, I know you have been working at it for the longest time. Guess it just shows persistance can pay off.
smileyjamie72
on 6/2/11 6:16 am - Palmer, AK

Randy,

I am SOOOOOO HAPPY for you!!!!!  You have worked a long time for this, and you have been diligent as well.  Good LUCK with Dr. K!!!!!!


-Jamie in Alaska

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

dana712
on 6/2/11 8:16 am
Congratulations!!!! I think I will self pay Dr K.
airbender
on 6/2/11 6:40 pm
congrats how exciting, sounds like your husband has a "small" group policy in which he can talk to the HR dept.  it really is up to them what they decide to cover.  intersting enough going to the HR dept in a small co. that is rather simple to add procedures etc that are not in there, as an employee they want to keep you healthy. (your hubby's plan)
randy S.
on 6/2/11 8:55 pm - brooklyn, NY
What your saying might be true but my husband works for a huge conglomerate that owns medeco, arrow, multi t lock usa etc........
So what your saying does not apply here.
And my husband would'nt talk an HR dept for me to have surgery. He is happy for me but very worried about what could happen. He doesnt even see the 50 lbs i put on.
(deactivated member)
on 6/4/11 10:31 pm - Bayonne, NJ
That's fantastic news, Randy! I'm so happy for you!
randy S.
on 6/5/11 2:33 am - brooklyn, NY
Thank you!!!!
DO you remember anyone on  the board that had revision with Dr. K from out of town and went alone?  I can not seem to remember anyone like that and i really need some insight.
Thanks babe, enjoy the great weather.
Randy
(deactivated member)
on 6/5/11 5:31 am - Bayonne, NJ
I'm honestly not sure who has traveled alone. Lwillis22 (Lori) had her revision with him, and I don't know if she went alone or not.  I saw you asked on the DS board, I hope more people chime in.

I'm just really happy BCBS came through for you. This is good!
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