Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Waiting...is going to drive me crazy!



Recommended Posts

Paperwork is turned into the insuance company, finally! Started this process 3 years ago, got through consults and psych eval, and everything. Then had a wonderful little suprise roadblock we named Tyler and had to wait to start the process over. Had to start over with new insuance conpany learn all the new requirements which included a 6 month diet documentation required by my employer. Took my doc almost 2 weeks to get that to the insurance lady at my surgeons. I think everything is in order this time and hopefully I am just waiting for approval. But this whole waiting this is driving me nuts! I just really want to be approved. When should I start calling them to find out the status of my claim?? It just got turned in Monday but I have heard BCBS IL sometimes comes back fast but takes awhile to mail it out.

Share this post


Link to post
Share on other sites

Good luck! Mine was submitted yesterday to BCBSTX, and I'm hoping for a quick turnaround too! Hang in there and try to keep busy :)

Share this post


Link to post
Share on other sites

I am with you the waiting is making me mental!!! I am hoping to schedule surgery before classes are back in session in August.

Share this post


Link to post
Share on other sites

Hi guys I'm in the same boat. My paperwork was submitted to Federal BCBS of Kansas City on Wed. the 14. My insurance case manager at my surgeon's office told to expect a 2 week wait, but Stephany you are right the insurance people would know before your surgeon's office so what not start calling to find out. GOOD LUCK TO EVERYONE!!!!:)

Deb

Share this post


Link to post
Share on other sites

the amount of time that it takes to give you an answer is located in your subscriber agreement....good luck to all

Share this post


Link to post
Share on other sites

They told me to expect a 2 week wait. I called them after 1 and it had been denied already. My appeal took about 3 weeks from the time the insurance company recieved it to the day my surgeon's office got the approval. The wait sucks, but once you have an answer either way and can move on to the next step, it gets better.

Share this post


Link to post
Share on other sites

Grrrr BCBS is doing it on purpose now!! So I called to check on my status today only to have the girl freak me out by saying was was denied because of investigational, oh wait that was in February. Put's me on hold then tells me yes you were denied again but appearantyly they didnt look at my new info or their new policy! So she has sent it back for review with notes as to the new info!!! And I wait some more!

Share this post


Link to post
Share on other sites

So I finally got my approval yesterday! Hoefully I will be sheduling Mon. For anybody going through BCBS IL here a warning they are denying the VSG for being investigational even though their policy has changed. I had to call them and tell them their own policy had changed. Maybe now that it has been brought to the medical reviewers attention it wont be such a problem any more! Good Luck All!

Share this post


Link to post
Share on other sites

Yay, that's fantastic! I called yesterday to check my status and so far it seems as if BCBSTX is on the ball with the policy changes, but needed more info, which ended up being my 3 months of a weightloss program. I got that right away, and faxed it myself to BCBS, since it would have taken forever with the Dr.'s office. I'm hoping it won't take more than a day or two more..... maybe I'll be next! And let us know about your date :thumbup1:

Share this post


Link to post
Share on other sites

Way to go. You have to be on the ball with the insurance companies. I can only imagine how many people out there take no for an answer and don't know they can appeal, or simply lose hope.

Share this post


Link to post
Share on other sites

I have my date!!! August 30th!!!! oh crap thats fast! they told me on the phone it was going to be a three week diet but I thought it was two so Im gonna have to ask. I think it is based on your starting bmi mine was 50 but I lost 40lbs in my 6 month diet so hopefully that will take me down to two weeks!

Share this post


Link to post
Share on other sites

I am hoping to hear by the end of this week. The anticipation is causing a few sleepless nights. haha.

Share this post


Link to post
Share on other sites

Hi Papillon,

I am new to all of this. I have just started the process my first appointment is on the 29th of September. Good luck with your surgery! I too am having Dr. Podakemeni. Do you have BCBS of AZ? That is what I have. My regular doctor stated it wasn't that hard to have them okay things. After your first appointment did it take long to get a surgery date? I have heard a lot of good things about this Doctor. Are you having to do a special diet before going in for surgery? Congratulations as the 13th is fast approaching. Thank you!

Thanks,

Rxsunset

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×