raec81

Got my date this evening! My surgery is scheduled for January 30th! I'm beyond excited.

Is it the doctor or insurance fighting you on the hernia? It's just easier to do it while they already have you under. I didn't know I had one until my doctor poked around with the EGD. I think he woke it up now it's so annoying. Good luck and hopefully they quit fighting you.

Thank you so much!

I wanted to wish everyone a Happy New Years! For those who got approvals/surgery in 2014 Congrats! For those still working on it like myself keep pushing on! Here's to 2015 giving us the answers we're looking for after months of hard work!

Oh ok I don't really know anything about them. I have Anthem BCBD through Medicaid in KY and it's been nothing but a headache. I am on the state fair hearing step.

What state are you in? Also is this a work plan or Medicaid?

I have KY Medicaid with my MCO being Anthem BCBS. I was required to do a 3 month diet as well as a few other things. The criteria they stated was 35+ and 1 or more comorbid OR 40+ with no co requirement. I fall into the second category. We completed all requirements and submitted the paperwork. They denied me! They stated a Medicaid change now requires all to have a co regardless of bmi which is not true. My doctors office contacted Medicaid directly to check on this and got confirmation nothing had changed. We are currently appealing. I'm so frustrated I could scream. Time seems to crawl by while I'm waiting.

It didn't change. My office contacted someone high up in the Medicaid office here and they said it didn't. Even though they denied my appeal due to administrative errors they said in the letter that I qualify but this this and this which were all administrative errors. How close are you to submitting to insurance? Good luck!

Has anyone switched doctors during this process? My current doctor messed up my appeal that they submitted on my behalf. With open enrollment I am switching insurance so I have another chance and want to switch doctors. Has anyone done this? I'm so frustrated with.

It seems to be a little of both. Some information that was submitted to them was left out of the packet. Also the doctor has always pushed for the band so when the packet was submitted it has both sleeve and band checked when I stressed on more than one occasion to the person doing the paperwork that I was only interested in the sleeve. Overall he seems like a good doctor but the way he shoves the band down your throat makes me think of a shady used car salesman. I understand they each may have their preference but once a patient picks let it go. Especially don't mark both on my appeal paperwork! Aside from the pushy attitude in regards to the band I like him and his staff.

Grats!

Yeah most of the Cigna people on here are approved prety fast. Good luck!

I live in KY as well and I've heard WellCare is one of the easiest to deal with and usually pretty quick.

What state are you in?

Thanks. I think venting helped some lol

I would have the Doctors office request this. My insurance did the same thing but when they requested it they sent it right over.