I still am not eligible for the new plan. As of today, Anthem has not altered their position. ![]() The blood sugar came back normal and the glucose test was negative for diabetes. So my doctor ran a new blood sugar test and also a glucose test - an indicator of diabetes. The medical record in January stated that my blood sugar in January was 127 - one point above the bottom level of 126 to signal a “danger of developing” diabetes.Īnthem refused to alter their stance, saying their “interpretation” of the medical record indicated that I was diabetic. So Anthem came back with another denial, this time claiming that my doctor had diagnosed me as diabetic in January. My doctor sent in a letter verifying that my weight in September was 40 pounds below what I weighed in January (I’ve lost 15 more pounds since then). They based their decision not on what I weighed in September but used my weight in January - nine months earlier. I’m not eligible for Medicare for another three years and Amy is still a long way from either Social Security or Medicare.Īnthem approved Amy for the new plan but rejected me, saying my “height to weight” ratio was beyond their norms. In September, Amy and I applied for a new Blue Cross plan designed to lower our rates - a move prompted in part by my decision to retire early and go on Social Security. I also feel a lot better.Īt least I did until Anthem Blue Cross in Roanoke decided to lie about my medical history and use those lies as an excuse to try and cancel my health insurance. Since then, I have dropped 55 pounds and my blood suger is well within normal range. ![]() I listened and went on a weight loss program that involved a complete change in lifestyle. She recommended I deal with the problem immediately. My doctor warned me that my blood sugar had reached the bottom threshold to signal a threat for diabetes. Members and providers are encouraged to contact their local Blue Plan customer service representative who can explain coverage and determine how benefits apply.Eleven months ago, my weight - which has grown steadily over the past few years - hit a knee-staggering 280 pounds. Not all Blue Plans provide benefits for bariatric surgery. A focus in development of the Blue Distinction Centers is to reduce complications of treatment and surgery and therefore better manage costs.įor more information about the Blue Distinction Centers for Bariatric Surgery, visit or call 1-800-676-BLUE. With a goal of improving patient health and safety, the selection process includes a comprehensive e valuation of a facility’s volume, processes and outcome measures, including survival rates, post-surgical complications and sustained weight loss at two years after surgery. The criteria for selection to the Blue Distinction Centers for Bariatric Surgery were developed with input from expert physician panels and national organizations. ![]() Silver Cross Hospital’s facilities include a new 36-bed inpatient unit specially designed and equipped to meet the needs of weight loss surgery patients and a state-of-the-art operating room designed for laparoscopic bariatric surgery. Silver Cross is the first hospital in the Chicago southwest suburbs to earn the designation.īlue Distinction Centers for Bariatric Surgery are required to have dedicated teams in place that provide a full range of weight loss surgery services, including inpatient care, post-operative care, follow-up and patient education. The Blue Centers designation was developed to help consumers locate quality care for bariatric surgery. The designation means Silver Cross meets or exceeds stringent quality criteria that demonstrates reliability in delivering bariatric surgical care and better overall outcomes for patients. Silver Cross Hospital’s weight loss surgery program has been recognized by Blue Cross Blue Shield of Illinois as a Blue Distinction Center for Bariatric Surgery℠. Blue Cross Blue Shield Names Silver Cross a Blue Distinction Center for Bariatric Surgery℠
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