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

Recommended Posts

Have BCBS IL, and started the six month waiting period last November. In mid-February I learned that as of 2/1 BCBSIL is no longer requiring the waiting period, they just want doctor recommendations. My surgeon's office sent off the paperwork on Friday 3/3 and got the verbal approval TODAY! I can't believe how fast this is happening!

Now just waiting to hear about pre-surgical testing and setting a date. I am SO excited!

Share this post


Link to post
Share on other sites

Wow, that was FAST!!!! Congrats!!!

Share this post


Link to post
Share on other sites

How did you hear? Did your doctor tell you or dis you call your insurance? I have BCBS but live in Va. I figured IL stood for Illinois?? Thanks

Share this post


Link to post
Share on other sites

The surgeon's office got the call and called me. I wasn't going to follow up with BCBSIL until next Monday, I assumed it would take a couple of weeks for approval. Yes, my insurance is from IL because that's where my corporate office is located. I hope you have similar success from your BCBS!

Share this post


Link to post
Share on other sites

The surgeon's office got the call and called me. I wasn't going to follow up with BCBSIL until next Monday' date=' I assumed it would take a couple of weeks for approval. Yes, my insurance is from IL because that's where my corporate office is located. I hope you have similar success from your BCBS![/quote']

Congrats I have bcbsil as well. I did the 6 month diet and that ended the end of feb. no one knew about the change of policy. My paperwork went in on tuesday so I am holding my breath! Where are you?' I am in ny.

Share this post


Link to post
Share on other sites

CONGRATS!!!!!!!

Share this post


Link to post
Share on other sites

Thank you! @Stacey, I'm in Mississippi.

Share this post


Link to post
Share on other sites

Congrats

Share this post


Link to post
Share on other sites

Have BCBS IL, and started the six month waiting period last November. In mid-February I learned that as of 2/1 BCBSIL is no longer requiring the waiting period, they just want doctor recommendations. My surgeon's office sent off the paperwork on Friday 3/3 and got the verbal approval TODAY! I can't believe how fast this is happening!

Now just waiting to hear about pre-surgical testing and setting a date. I am SO excited!

You and I have almost the same story! Mid-November is when I started my info seminar and surgical consult. I also have BCBSIL and happened to be on vacation in Orlando and reading this forum as a lurker at the very end of January when I saw a post saying that BCBSIL had removed their requirement. I kind of thought it was a misinformed post or somehow not applicable to me, so I went onto their website and read the policy word for word. Sure enough!! I actually got back to my home in WI on 2/1 and called my surgeons office to let them know; they also validated the new requirements!! So I had to finish up my psych eval, upper GI, wait for those to come back and then off it went to insurance a week ago Friday. Came back two business days later. SO! Surgery date April 19th. EXCITED for myself and for you!!!

Share this post


Link to post
Share on other sites

Yay Sarah! Keep me posted!

Sent from my iPad using VST

Share this post


Link to post
Share on other sites

…..

Share this post


Link to post
Share on other sites

You and I have almost the same story! Mid-November is when I started my info seminar and surgical consult. I also have BCBSIL and happened to be on vacation in Orlando and reading this forum as a lurker at the very end of January when I saw a post saying that BCBSIL had removed their requirement. I kind of thought it was a misinformed post or somehow not applicable to me' date=' so I went onto their website and read the policy word for word. Sure enough!! I actually got back to my home in WI on 2/1 and called my surgeons office to let them know; they also validated the new requirements!! So I had to finish up my psych eval, upper GI, wait for those to come back and then off it went to insurance a week ago Friday. Came back two business days later. SO! Surgery date April 19th. EXCITED for myself and for you!!![/quote']

Congrats. My surgeon sent in for a pre determination of benefits and then for approval? I feel like it is taking forever I did the diet, psych, endoscopy, blood work etc and am still waiting.

Share this post


Link to post
Share on other sites

Congrats. My surgeon sent in for a pre determination of benefits and then for approval? I feel like it is taking forever I did the diet, psych, endoscopy, blood work etc and am still waiting.

Yeah, I'm not sure why some surgeons do a per-cert of coverage before a pre-auth for approval. I will say that my surgeons office advised us during the info seminar that if we went through the process of all the testing, ie. upper GI, blood labs etc... were performed and it turns out we were ineligible that we would be responsible for all of that stuff, possibly out of pocket. So maybe to avoid all that, they call in to make 100% sure you're eligible for coverage before doing anything? Not sure. But whatever it is that they do, I hope they do it fast for you!! :)

Share this post


Link to post
Share on other sites

Yay for you! Getting the approval call is the best!

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

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • 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

    ×