BCBS TRS Activecare 2

[TexasTeacher 7]

I am so happy, I got my approval! My doc's office submitted it on Wednesday and they approved it on Thursday! Just so stunned it was done so quickly, I don't even know what to think! After all that I'd heard about Blue Cross, I was expecting a denial.

[Lovely Lo 4]

I am so happy, I got my approval! My doc's office submitted it on Wednesday and they approved it on Thursday! Just so stunned it was done so quickly, I don't even know what to think! After all that I'd heard about Blue Cross, I was expecting a denial.

I have a few questions for you mine was submitted wednesday, and I have BCBS TX PPO.. What doctor are you seeing? Congratulations on your approval!!!!!!!!

[TexasTeacher 7]

I have a few questions for you mine was submitted wednesday, and I have BCBS TX PPO.. What doctor are you seeing? Congratulations on your approval!!!!!!!!

I'll be glad to answer any questions I can! I'm using Dr. Wade Barker in Dallas.

[Lovely Lo 4]

I'll be glad to answer any questions I can! I'm using Dr. Wade Barker in Dallas.

I am using dr barker too!!! I'm praying for my approval to come in soon they said I should know by Wednesday. Do you mind me asking your bmi and height. I'm so nervous waiting for my approval and I'm stressing!! Do you have any co-morbidies? I have the diet and 12 months of working out and I was still gaining!!

[TexasTeacher 7]

I am using dr barker too!!! I'm praying for my approval to come in soon they said I should know by Wednesday. Do you mind me asking your bmi and height. I'm so nervous waiting for my approval and I'm stressing!! Do you have any co-morbidies? I have the diet and 12 months of working out and I was still gaining!!

Not at all! 5'7, with a 36 BMI and comorbidity of sleep apnea.

[TexasTeacher 7]

When are you trying to have your surgery done? They told me yesterday that he was already booked a month out, but I'm just HOPING that I can get it done over Christmas!

[Lovely Lo 4]

When are you trying to have your surgery done? They told me yesterday that he was already booked a month out, but I'm just HOPING that I can get it done over Christmas!

I'm hoping to have it done before January so I domt have to pay 3000 because if I can get it before the end of the year almost all of my out of pocket has been met!! I'm 5'4 280. Soo I'm praying they approve the only thing I have is high cholesterol! So I'm hoping to find out soon! Did they call you to tell you about your approval or did you have to call? Thanks so much for talking with me!!

[TexasTeacher 7]

I had to call Blue Cross. Still having some scheduling issues with his office, but I'm hoping it will all be resolved on Monday. If I were you, I would definitely call your BCBS people on Monday and find out where it is in the process. Good luck on getting in before the end of the year, his office told me they were waiting on him to open up additional days, so I think there is still a good chance!

[Lovely Lo 4]

I had to call Blue Cross. Still having some scheduling issues with his office, but I'm hoping it will all be resolved on Monday. If I were you, I would definitely call your BCBS people on Monday and find out where it is in the process. Good luck on getting in before the end of the year, his office told me they were waiting on him to open up additional days, so I think there is still a good chance!

Well thank you so much for everything it took me a week to get to talk to someone in the insurance part of his office they are super busy!!

[TexasTeacher 7]

I'm not terribly impressed with the lack of communication with the insurance area of the office. Dale has been great when I've dealt with him, but that hasn't been all that often. Although, they clearly got me approved and that is wonderful! Now just hoping they can get me scheduled!

[Lovely Lo 4]

I'm not terribly impressed with the lack of communication with the insurance area of the office. Dale has been great when I've dealt with him, but that hasn't been all that often. Although, they clearly got me approved and that is wonderful! Now just hoping they can get me scheduled!

Yes he's been very kind!! I hope they can get both of us sceduled.

[TexasTeacher 7]

I am calling them this morning, will let you know what I hear! Keep me posted on your insurance company!

[TexasTeacher 7]

Well, I had to call BCBS and they faxed it in again. Called back the office and I'm scheduled for the final office visit next Tuesday, the 30th. Have emailed Dawn for the surgery schedule, so hoping to hear from her today---if not tomorrow. They did tell me that they were scheduling in the 3rd week of December, so I'm keeping my fingers crossed!

If you haven't---please call your insurance and see what they say, so you can get scheduled! Do you know which hospital you are using? I have to use Doctor's because it is a bariatric center of excellence with BCBS. She did tell me that they only do surgeries on Wednesday there.

Let me know!

[ktot34 0]

Congrats!! So you were approved for VSG?? That is what I want and am wondering if I will get approved.

I am so happy, I got my approval! My doc's office submitted it on Wednesday and they approved it on Thursday! Just so stunned it was done so quickly, I don't even know what to think! After all that I'd heard about Blue Cross, I was expecting a denial.

[TexasTeacher 7]

Yes, I was approved for the VSG. NO problems at all with the insurance and I was a borderline case! From what I've read on this board, though, it all comes down to your insurance carrier and what your company has chosen. The very nice lady at BCBS told me that while Blue Cross normally denies, TRS opted to include bariatric surgery. Good luck!