BCBS Fed response...

[aufan 69]

My WLS doctors office submitted for pre approval for lap band last week. Saturday I received a letter saying it was denied. It stated I lacked documentation of per and post - operative nutritional assessment and counseling. My WLS doctor sent me to a nutritional class back at the end of Nov.

Anyone else have nutrition counseling? I have a call into the dr but just waiting on a call back.

Thanks!

[LadyDreadHead 90]

I had to attend a nutrition education class, in addition to the other requirements.

[sbox 24]

I also had to meet with a nutritionist, just one time.

[jenc87 60]

they did the same thing to same insurance i got fed up and to tell u the truth thats what they want u to do at the time i was 24 i had and the agent was arguing with me and said if it wasnt for obama u wouldnt have insurance i was like whaaaat ##%&@#&# i want to speak with ur manager and this was me trying to get my medicine for surgery and they wouldnt approve it there going to give u hard time so u can give up and pay for it on ur own best of luck hope everything goes well !!!!

[dylanmiles23 2,198]

I had to see a dietitian 3 times before the surgery and I also see her every time I have a fill. I just had my 3rd fill and saw her again.

Good luck with the insurance, they all have their own rules.

[tiggergramma 129]

We have BCBS Fed too and I had to go through a couple of things with them wanting more documentation from my surgeon's office. Fortunately, the insurance gal at his office is really good about making sure the insurance company gets every detail they ask for, so my paperwork finally made them happy and they covered it 100%. It may have just been a document that either didn't get sent initially, or they didn't see it in the pile or something. I'm sure your surgeon's office will help you clear it up. Good luck!

[sbox 24]

I also had my surgery 3 years ago so that probably makes a difference on the requirements.

[grownazzkid 206]

I have BCBS Fed and got my approval in 7 days. I am working with True Results, which is like a chain clinic so I am guessing they have the system down pat. I spoke to the dietician at every one of my 3 monthly meetings.

Stay strong and keep at it. You and you doctor figure out what exactly you need to do next to get this done.

Do not give up or be discouraged.

[aufan 69]

Thank y'all for the encouragement. The office called BCBS and the insurance lady said Ooooopppps our bad they pre approval has been rerouted back for review. Back to our regularly scheduled program of waiting. LOL!! But its not a no so I'm happy to wait!

[dearlh 92]

yep same thing with me n BSBS of ND. they sent me a letter stating they didnt receive the psych. eval. n the dieticians report. i called my case worker, she said she sent all that in together. she called them n they were like oh we dont know why he got that letter, hes approved n good to go. go figure huh. idiots

[jenc87 60]

thats good best of luck on ur journey

[aufan 69]

Approved!!! Surgery set for March 21!!

[tiggergramma 129]

yay! Congratulations!

[pinx 18]

I had to meet with a registered nutritionist one time as part of the process. I haven't been approved yet, but they did not accept the counciling from my doctor through the weight loss clinic. It had to be a nutritionist with BCBS-Fed. If you call them, they are really helpful though. We've (my husband and I) have called them probably 10 times asking questions.

[aufan 69]

Just had my preop counseling today!! Two weeks and counting....

WOW!!!!!!