ws467
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Everything posted by ws467
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:rolleyes2:I'm new to this site and am in the process of awaiting approval. I have insurance with Highmark BCBS. If approved for the surgery, I will be having it in Texarkana, Tx. I've been to ww for 7 months, 5 yrs of doctors records, 2 sleep test and waiting to be fitted for a cpap. I have also had 1 visit for a mental evaluation and 1 with a nutritionist. I'm a teacher so I'm hoping to be able to have the surgery before school starts. Does anyone have this particular type of BCBS?
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My insurance was denied because I don't have 6 months of a drs supervised diet. We turned in 9 mo of ww but that wasn't good enough. They claim that this is all that I need. I guess I will be waiting another 6 months. I have bbcbs-highmark. Does anyone know how I can get around this.
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I finally received an answer from my insurance co. They denied the surgery until I can show a 6 month supervised diet thru a drs office. I went to weight watchers for 9 consecutive months. I just can't believe that I was denied. they've had my file since July 31 to tell me that I need something else. Well I guess I will be making a trip to a doctors office. I just need to vent to someone.
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Yes, I'm a teacher and we started back today. I started at a different school and that was one of the reasons that I wanted the surgery this summer. Just in case I had problems and would need some extra time off. I'm trying not to dwell on the situation and just wait and see what the ins co does. Good Luck to you.
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New to site-Waiting on approval
ws467 replied to ws467's topic in Tell Your Weight Loss Surgery Story
No, I have not heard anything yet. The drs office didn't submit my paperwork until July 31 and when I called the ins co they said that they have 30 days to decide. I'm afraid that they will not approve even though I have everything done. This is beginning to be quite frustrating! Someone emailed this week that is using the doc that I am but they are self pay-they went on July 28 and started 2 wk diet on 8/8 and will be operated on 8/22. If I were wealthy I guess I would have a date. ws467 -
preop diet and slimfast
ws467 replied to healthysue's topic in PRE-Operation Weight Loss Surgery Q&A
JRfan88 I seen where you were banded by Dr.K in Texarkana. How long did it take you working with their office to get the surgery? I have all of my paperwork and test done and I am just waiting on them to file my insurance. Are you happy with the surgery? ws467 -
Addy: How long did it take for you to be approved or have a surgery date set? I'm working on trying to get approved and everything seems to be moving slowly.
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Aligmamma: How long were you having to deal with the insurance. I went to the seminar on June 11 and went in to see Dr.K on 6/16 and I've already done 2 sleep test,nutrition, and psy evaluation. As far as I know they have all of my records. I'm a little anxious to have the surgery because I have to go back to work on Aug 18 and time is running out. They seem extremely busy at the office. My ins is Highmark-BCBS. Are you satisfied with your surgery? My BMI is around 47 and I have high BP but keep it under control with meds.
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Looking for some one who has been banded by Dr.K in the last few months. Also do you have insurance? I think that I have everything in but I don't know when they are going to send in to my insurance.
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Highmark Blue Cross and Blue Sheild of P.A.
ws467 replied to ctallen's topic in Insurance & Financing
I have the highmark bcbs/ pa. I'm waiting on my drs to send in for approval. This is what I have so far-dr visit, 9 mo ww, dr records, psy evaluation, nutrtion evaluation, 2 sleep test and now using a cpap.There shouldn't be anything else that I'm needing is there? -
New to site-Waiting on approval
ws467 replied to ws467's topic in Tell Your Weight Loss Surgery Story
Do you also have the Highmark BCBS? -
New to site-Waiting on approval
ws467 replied to ws467's topic in Tell Your Weight Loss Surgery Story
Thanks for the insurance info. I think my dr's office stays pretty busy and they want to make sure that you have everything before they seek approval. I hope that they send mine in this week but I don't know. I will let you know when I hear something.