Waiting For Approval Or Denial..

[helleva 22]

Hi,

I have Blue Shield of Califonia. My paperwork was submitted Monday. I just checked my insurance claims online. My Preops have been approved. Does this a good sign that my surgery will also be approved?

thanks,

Denise

[vsggal 1]

Hi' date='

I have Blue Shield of Califonia. My paperwork was submitted Monday. I just checked my insurance claims online. My Preops have been approved. Does this a good sign that my surgery will also be approved?

thanks,

Denise [/quote']

Oh wow! I have the same insurance! Still seeing the nutritionist...I'd really like to know the outcome from your insurance...keep me informed!!!

[helleva 22]

Hi,

They weren't my pre-ops lol.. I guess I was too excited. My paper work was submitted 5/14 and I'm still pending. :/ I'm getting a bit worried but I will definitely keep you posted.

Denise

[helleva 22]

Hi,

Just an update. I was denied! they do not see a medical need for the surgery. My coordinator is going to try and set up a peer to peer or send in an appeal letter. So disappointed :'(

[thenewlife76 1]

Hi, I am sorry hear that you where denied. I know that it will work out. You have came to far to give up now. I am still waiting on my sleep study results and then my dr will send my request to bcbs. When that happens I will let you what happened...

[Nanny3Kids 8]

Do you happen to have a fatty liver? If you don't know ask the dr to do a cat scan it will tell them and if you do the insurance has to cover it for medical reasons! Hope this helps

[helleva 22]

Thanks Newbie I have faith it will work out.. I hope you get an approval from bcbs:) please keep me posted. When you get your good news.

Thanks,

Denise

[helleva 22]

Thanks nancy3kids,

I don't know if I have one. I do know I had at in my blood before. Don't know if that has anything to do with that. Plus, I believe I have GERD. I'm going to make a doctors appoinment to see what tests I can have done. Thanks again for the info. It truly helps.

Denise

[Nanny3Kids 8]

I didnt know i had a fatty liver it just so happened i had a cat scan for pain i was having a few yrs ago and happened to see it in my paperwork. Ask your primary Dr if he has anything on it too, i have BC/BS (temsters) and i had to have medical reasons to have the sleeve, and go to a center of excellents to be approved.

[helleva 22]

thanks nanny 3 kids,

I will look into it for sure. I just thought they'd approve me for obesity, gestational diabetes, 1 kidney, sleep apnea, and my family history! Is that the only thing you had wrong with you?

[Nanny3Kids 8]

I have pre diabetes, my BMI was to low to get them to approve it without any medical reasons so with the fatty liver and the pre diabetes they finally approved it :-) is your drs a center of excellents?

[helleva 22]

I wonder if I need two medical reasons? Yes, I am going to a Center of Excellence. I had my hopes so high because the lady who submits the paper work said i'd be approved for sure.

[Nanny3Kids 8]

You should ask the drs, office and see what they say and you can also call the insurance co and find out why you were denied! Maybe you can get what you need that way too!