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GermaineF

LAP-BAND Patients
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Everything posted by GermaineF

  1. GermaineF

    Pre Lap Band Surgery Testing?

    Some insurance companies require all those test, mine didn't, just the normal blood work, ekg and chest xray...Made my apt today, get banded next Friday the 16th...
  2. GermaineF

    Denied by BCBSI for Lap Band Surgery And Devastated!

    i too was denied by BCBSI not once but TWICE!!! My Dr submitted all my paperwork Oct 19th and at the end of the month I got my 1st denial. I was pissed!!! I didn't give up even when it seemed as though the staff at my drs office did. I took it upon myself to have sleep apnea test done and had them fax that paperwork in and called BCBS EVERY SINGLE DAY!! Yesterday they sent approval letter to my dr, today I went in to sign consent and i'm scheduled for surgery on Dec 16th. yep next Friday...what ever you do, DON'T GIVE UP!!! and don't rely on someone else to get necessary paperwork for you. Do it yourself, make the calls yourself and document who you spoke to..Good luck to you dear...
  3. OMG!!!! I am soooooo excited, got a call today from BCBSI telling me that I'm approved..I burst into tears when I got the news...Now waiting for them to fax approval letter to dr's office so that I can schedule my surgery date. Thank you Jesus
  4. @ rn2012, how long have you been waiting?? Don't wait for letter, you need to call the insurance company, b/c after my dr resubmitted my paperwork on 11/22 i called on the 28th and they had it just sitting there, it had never gotten forwarded to medical review. So if i wouldn't have called i would still be waiting...
  5. i was denied the 1st time b/c i have a BMI of 35 and only had high blood pressure. I took it upon myself and scheduled a sleep study and have sleep apnea and had the dr submit additional paperwork the week after my denial. I called EVERY day to BCBS to check status and a week after dr submitted additional paperwork they told me that I was denied again. Said that they had no BMI info and i had no co morbitities. I argues with the rep until she looked thru the paperwork that dr sent in and she found it and resubmitted to medical review. I got a call today fromBCBS telling me that I'M APPROVED....
  6. GermaineF

    Neeeed Info...plzz

    1st time appointment to discuss having lap band?
  7. GermaineF

    BSBSI

    I wish you well, I too have BCBS of Illinois and my BMI is 35, i have gone thru the 6 months dr followed diet, psyc exam and all. I have high blood pressure and was denied. Last week I went and had a sleep study done to find out that now I also have sleep apnea, I've never been so excited in all my life!!! lol so now I will have dr forward this info to BCBS and wait for my approval....Good luck to you and keep us posted..
  8. I'm very upset right now b/c for the past 6 months i've been going to the dr and dietician for 6 months straight, saw a psyc, and did meal replacements only to find out that I was DENIED!!!! Now get this...they said i as denied b/c i didn't have documentation of 6 months non surgical weighloss, (duhhh i saw dietician for 6 months) and also b/c i only have 1 comorbid (high blood pressure) When i 1st started on this journey, the dr assured me that it wld be no problem for me to get approval with a BMI of 35 and HBP...What am I to do now??? PLEASE SOME HELP ME.....
  9. wow that's great...i have BCBS IL and was denied but i'm considering getting on my husbands plan which is UHC. How many co morbitities do you have to have with UHC??
  10. GermaineF

    Lap Band Denied By Bcbs Very Disappointed

    WOW..R U SERIOUS?? I'm so glad it worked out for you. Did you have more than 1 comorbiditie, and what was your BMI?
  11. GermaineF

    Lap Band Denied By Bcbs Very Disappointed

    I agree, we do have the best food in the world.....lol
  12. GermaineF

    Lap Band Denied By Bcbs Very Disappointed

    Yes, I saw both PCP and dietician, i will wait to see what happens next, drs office will be sending in more info...
  13. I have a BMI of 35 with high blood pressure, I just went thru my 6 months of supv weight loss that my insurance required and the psyc eval to find out that i was DENIED!!!! I'm beginning to cry as I type this b/c I'm so frustrated. My dr's office said that they will submit more paperwork and see what happens...Oh i have BCBS Down and Out....

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