BLUE SHIELD IN CA?

[RoxyN 0]

Hi just wondering if anyone has used Blue Shield here in Ca? I've already completed Nut and Psych evals and am waiting for approval. Just wondering if anyone else has this insurance and what the experience was like as far as waiting and approvals? Thanks

[Ruffus 66]

It took a week for them to get my denial letter.

Resubmitted and took a week to get approval!

Good luck!

[RoxyN 0]

Thank you Ruffus. I got my fingers crossed!

[ready4it 8]

I do. Once paperwork was submitted 1st time I was denied. It was quick-bmi too low for wls w/out co-morbs. Next time it took about a week for approval. Bmi is higher now, w/out qualifying co-morbs.

[ShrinkyDinkMe22 376]

I Have bcbs of il I'm sure they are similar. But mines was submitted on 10/25 and I was approved on 10/29. I was approved on bmi alone. Had no other comorbidities. Keep us posted,

[RoxyN 0]

Thanks so much for the info and Congrats to you!

[ShrinkyDinkMe22 376]

Thanks so much for the info and Congrats to you!

Np & thank you!

[Ruffus 66]

Roxy did you hear anything yet?

[RoxyN 0]

No Ruffus : ( getting a little frustrated with the staff. I'm trying not to be a pushy person but I called to follow up and of course got the run around. The girl who's supposed to schedule my endoscopy got on the line and said something along the lines of not being able to schedule yet because the Dr. Is not in??? Sooo...she made a note to herself to call me back and Ive yet to hear from her. Then I was on hold for Rose so she could go over my benefits with me and was told she was on another call but my chart was sitting on her desk so she would call me later that day. Haven't heard from her. So ill be calling again tomorrow. What was your experience like?

[Ruffus 66]

I always call them and have never had a problem with them not returning calls. Speak with Diane and let her know what is going on. Let her know you have a few issues and she will take care of it... I went through her! I got a bit frustrated with Mel, and Rose has always been on top of things. Don't know what happen there. However Diane is the office manager, she will whoop em into shape for you! She and Bridgett are amazing! You go around everyone else that don't matter and you will have a fabulous experience, swear! Just talk to Diane though, you will be glad you did!

[RoxyN 0]

Thanks for the advice. I'll call them today. How are you doing by the way?

[Ruffus 66]

I am doing better! I feel better everyday! Thank goodness.

I am looking forward to Christmas, I love to cook and can't wait to start baking. My little guy loves to help in the kitchen and does most of the work... training the next Iron chef LoL!!!

I will keep fingers crossed for you!

You can also log onto anthems website and check your status or call them.

Let me know what happens.

Talk with you again soon!

[Ruffus 66]

Roxy did you hear anything yet?

[RoxyN 0]

Hey Ruffus, happy holidays! Hope you enjoyed. Well I finally got some results. Initially, Veronica put a glimmer of hope in my head saying they would process everything as soon as possible. Mind you my first visit was the consult on Dec. 1st. So I was under the impression they knew ways of getting around any 6 or 3 month requirement by insurance. Well I finally spoke with Rosie and she says my insurance requires 6 months of visits with the nutritionist. She also said on e I've completed at least 4 she can try to submit and hope for approval based on BMI. So I guess its just gonna take a little longer than I had hoped. Either way I'm just looking forward to it in the new year. How are you doing? How has your progress been? Did you have to do six months as well?

[Ruffus 66]

I am back to basics on my own trying to get Protein and fluids in. Yes I had a 6 month waiting period. Went pretty quick. I started my journey in March was done in Sep. Had surgery in Oct!

I am going through depression about not being able to eat. Never thought I would, however, I am.

I have lost just a bit over 40 lbs.

Enjoy your new year! I hope you have a happy one!!!!

Let me know what happens!