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Jwow1

Gastric Sleeve Patients
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Everything posted by Jwow1

  1. What kind of complication did you have? (If you don't mind me asking).
  2. Jwow1

    Anyone From Nc?

    I have BCBSNC. I called them before starting this process and was told I only had to have 6 mth of documented weight loss attempt. But it did not have to be submitted to insurance only my dr had to approve it. And this is what my policy states. My pre-op coordinator said the surgeon accepted my WW log because it was about 9 months straight within 2 yrs. So after going through all tests, etc. my file was turned over to the insurance coordinator for filing. She emails me the next day and says she cant submit without my 6 mths supervised visit & if I dont have it, I need to get started. I explained my policy doesnt require it only requires that my dr approved whatever I did and pre-op said dr approved it. She said she has been doing this a while and even if dr "approves" it doesn't mean insurance will, but she will submit "as is" if I request. I can't do 6 months supervised now because my policy renews June 1 & my deductible etc will apply all over again. We met our out of pocket is the only reason I can have to now. So it was submitted Friday. We will see. I hope she doesn't mess it up. Is bcbs asking for you to have 6 mths documented?JWow1 I just had my consultation with the surgeon's office on the 28th I had about 8 months of attempts but was told per my insurance a 6 month supervised diet is apart of my requirements. My first of 6 appointments will be on the 25th of February. One thing my coordinator told me is that it has to be a consecutive 6 months if you miss a month you have to start over. To come this far and have met your oop max I really hope they will accept your attempts. I hope so too! We'll see.
  3. Jwow1

    Anyone From Nc?

    I have BCBSNC. I called them before starting this process and was told I only had to have 6 mth of documented weight loss attempt. But it did not have to be submitted to insurance only my dr had to approve it. And this is what my policy states. My pre-op coordinator said the surgeon accepted my WW log because it was about 9 months straight within 2 yrs. So after going through all tests, etc. my file was turned over to the insurance coordinator for filing. She emails me the next day and says she cant submit without my 6 mths supervised visit & if I dont have it, I need to get started. I explained my policy doesnt require it only requires that my dr approved whatever I did and pre-op said dr approved it. She said she has been doing this a while and even if dr "approves" it doesn't mean insurance will, but she will submit "as is" if I request. I can't do 6 months supervised now because my policy renews June 1 & my deductible etc will apply all over again. We met our out of pocket is the only reason I can have to now. So it was submitted Friday. We will see. I hope she doesn't mess it up. Is bcbs asking for you to have 6 mths documented?

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