Highmark Bcbs

[msmarylou 6]

Hello all,

So I am currently trying to become a "bander" and my insurance doesn't cover it. I am aware that I will need to get in touch with my hospital that is going to hopefully preform the surgery. In which they have been more than helpful. What I am wondering is how long does it usually take to get an appeal? Or have an answer reguardless of the out come. I am going the 6th to talk to someone there to start the paper work. I will also hope to have 2 different letters from my doctors explaining why this is nessary for my health and well-being.

[smellslikecoffee 43]

My appeal took 3 months, but it's been a 9 month process...hops it works out! I'm getting banded Tommoro!

[lucy b 5]

My appeal took 30 days... I had my primary doctor do a graph with years and how my weight has increased with the years. She also wrote a couple letters on my medications and conditions that I had suffered from due to my obesity. The more you get the better!!!! Don't give up! They'll give in!!!

[msmarylou 6]

Ok so I'm going to try and stay up beat but like many its going to be hard. So my people helping me with this whole process called me today saying that we need to try and bill highmark. That isn't the bad part because that only makes sense if I'm trying to start the appeal process. But now if highmark comes back with a condition pretty much saying that they don't cover it I will have to find a new way to get this done. UGH

I have this gut feeling they are going to say they are not going to do it because they don't cover it. Then I'm screwed...and I will be stuck in the Water again. I can call the attorney and try to work with them personally but that will be out of pocket and depending on how much it is I won't be able to afford it.

Why can't insurance companies realize that if they cover this they will be saving money from all the items the patient will be hopefully losing like dietabities, HBP and so on...

[poohda04 0]

I wanna get banded I hope either atena. Or bcbsga pays for it

[msmarylou 6]

So its almost been a month since my health care team sent in my paper work to the insurance....UGH I wish they would move just a little bit faster so I can have an idea on what I have to do