yosipena

Hello!! I have BCBS PPO. My insurance did cover for the shakes! My prescription CVS/Caremark covered for the chewable Vitamins and scar cream! I have yet to receive shipment on the items as they are waiting for Dr. Carmine, my surgeon to fill out a form. I am happy my insurance will be covering all of this, but this is where it gets a bit sketchy and I am giving it seconds thoughts as if this is too good to be true... Paper work is being submitted to my insurance sometime this week for the surgery, I should be getting a call next week with approval or denial. I called BCBS and Caremark myself to see if the above items will be covered and I was firmly told no. Because according to BCBS the shakes are over the counter and I can purchase them as they are not medically necessary. I did tell the rep that they are not medically necessarily now on a daily basis but that after surgery they are medically necessary, I was again told no. I read different chats in here and that is how I discovered Insure Nutrition... I applied, provided all information-this was March 12th. I got a call last night March 18th that I was approve from both BCBS and Caremark for the shakes, vitamins and scar cream.The rep said BCBS provided 12 referrals for the shakes! Dr. Carmine the surgeon was faxed a form and once he sends it back they will be able to send me the shakes, etc.... And I was very clear I do not have a surgery date yet. Don't know how BCBS approved shakes for a surgery they have yet to approve and have no pending paper work for.... im confused... But why did insurance told me they did not cover and I was approved via Insure Nutrition? This is confusing, and scaring me- all I need is a big old bill months down the road!!! Anyone with similar experience??