tbnote71 13 Posted September 4, 2012 well, last week when I went in for my EGD, my surgeon (Dr. Alok Ghandi) at Rochester General Hospital, told me he heard a rumor that I was approved. I told him it was news to me and that I didn't hear anything. Apparently it only took 48 hours for approval! I never thought it would happen that quick. Especially with no co-morbidities. Then I get home from the procedure and I get the phone call from a case manager of fep BCBS telling me I was approved. They explained all the copays and offered me support both pre-op and post. It is all seeming so real now. I love my insurance company! 1 danni reacted to this Share this post Link to post Share on other sites
IsB 209 Posted September 4, 2012 Nothing wrong with an upside surprise. Usually it's the other way so enjoy this one. Share this post Link to post Share on other sites
Teriiann 34 Posted September 4, 2012 That is great! I have BCBS of Florida and they do not cover the sleeve...(. Only the gastric bypass which I do not want. Congratulations!! Happy for your journey Share this post Link to post Share on other sites
mzblacque 11 Posted September 4, 2012 This is great to hear. I work for BCBS Federal and most employees are glad that the turn around time is so expeditious. I am glad that you have had a pleasant experience and just know that there are several perks available for BCBS members as a whole and BCBS Fed members specifically. Good luck on your journey. 2 SleeveandRNYchica and Need-a-Sleeve reacted to this Share this post Link to post Share on other sites
tbnote71 13 Posted September 4, 2012 Thanks. I am very pleased with them! Share this post Link to post Share on other sites
besquared1426 49 Posted September 6, 2012 Good luck. My turnaround with BCBS Fed was less than 24 hours so I beat your time! Lol. And since I've already met the $5000 OOP expenses, everything is covered 100%. When is your surgery? Mine is next Tuesday. 1 tbnote71 reacted to this Share this post Link to post Share on other sites
tbnote71 13 Posted September 6, 2012 Wow. That was fast. I am scheduled for October 24th. Good Luck with yours! I have the Basic, so I had no deductables. Just the surgeon co-pay and per night. I am getting anxious now even though it is almost 2 months away. Share this post Link to post Share on other sites
Beebaby813 24 Posted September 6, 2012 What is your BMi? If you don't mind me asking! I am looking at submitting through bcbs federal soon and am trying to get my 2 comormidies documented before I do. Any help would be appreciated! And congrats! How exciting! Share this post Link to post Share on other sites
NDN_RN 527 Posted September 6, 2012 Woohoo!!! I also have Fed BCBS and my papers were submitted today!!!!!! Wish me luck!!!!!!! 1 Need-a-Sleeve reacted to this Share this post Link to post Share on other sites
NDN_RN 527 Posted September 6, 2012 What is your BMi? If you don't mind me asking! I am looking at submitting through bcbs federal soon and am trying to get my 2 comormidies documented before I do. Any help would be appreciated! And congrats! How exciting! Only one co-morbidity is required in the federal BCBS Share this post Link to post Share on other sites
NDN_RN 527 Posted September 6, 2012 Only one co-morbidity is required in the federal BCBS [/url] And that is only if your BMI is under 40 Share this post Link to post Share on other sites
Beebaby813 24 Posted September 6, 2012 Really???I was told 2 by both BCBS and my doctors office! My BMi being submitted is 37.5 but is currently 35. I have slightly high colesteral documentedplanter, fisceites documented and a disc lower back issue that I am working on getting documented now. Do I have to wait until all my nut appointments are done before submitting? Thanks for you help!! Share this post Link to post Share on other sites
NDN_RN 527 Posted September 6, 2012 Really???I was told 2 by both BCBS and my doctors office! My BMi being submitted is 37.5 but is currently 35. I have slightly high colesteral documentedplanter' date=' fisceites documented and a disc lower back issue that I am working on getting documented now. Do I have to wait until all my nut appointments are done before submitting? Thanks for you help!![/quote'] Look up the fep blue site http://www.fepblue.org/benefitplans/index.jsp choose benefit plan brochure and scroll down to the bottom of page 55 Share this post Link to post Share on other sites
mzblacque 11 Posted September 6, 2012 Really???I was told 2 by both BCBS and my doctors office! My BMi being submitted is 37.5 but is currently 35. I have slightly high colesteral documentedplanter' date=' fisceites documented and a disc lower back issue that I am working on getting documented now. Do I have to wait until all my nut appointments are done before submitting? Thanks for you help!![/quote'] Bmi must be 35 or more with comorbities or 40 or more with out. Yes you will need all appointments completed prior to receiving approval. Nut appointments, psyche eval smoking and substance abuse documentation previous weight loss attempts type of surgery and location of surgery. Share this post Link to post Share on other sites
SleeveandRNYchica 1,155 Posted September 6, 2012 Congratulations! I have BCBS/Federal too. I emailed in at 8:00 AM on the 29th and was approved by 1:45 PM on the same day. Get this they even had to translate documents because I am in S. America! Yeah, FEPBLUE!!! 3 besquared1426, tbnote71 and dee.jay.bee reacted to this Share this post Link to post Share on other sites