hurley911 59 Posted December 13, 2012 Call every day submitted in Sept ... Supervisor escalated to a level 3...whatever that means... I just want an answer after all the bumps I have gone through with them.... 3 months? Seriously.. I realize its the holidays but c'mon!? Since Sept... I had the entire diet done for 7 months supervised by a dr HCG...bmi 40+ years.. What is the deal? Anyone playing a long wait gain with them? Sharing would help me feel like I'm not alone... Share this post Link to post Share on other sites
hurley911 59 Posted December 13, 2012 40+ for 3 years is what that should of said... Share this post Link to post Share on other sites
hurley911 59 Posted December 13, 2012 *game ...damn auto correct! Share this post Link to post Share on other sites
KickRocks 163 Posted December 13, 2012 Wow that seems like a long time!! I have the same insurance and I was told they have 30-45 days to respond. Sent from my iPhone using VST Share this post Link to post Share on other sites
hurley911 59 Posted December 13, 2012 Wow that seems like a long time!! I have the same insurance and I was told they have 30-45 days to respond. Sent from my iPhone using VST It does seem like forever!! I have had to get them things along the way which triggers more days allowed for them to get back to me ....last item submitted that was needs (3 weeks ago) I said if I fav it that day is it going I further delay me and she said no??!!! Apparently that was not the case.. Hoping... And waiting.... Share this post Link to post Share on other sites
FXDF2008 14 Posted December 21, 2012 I have the same insurance and have usually only had to wait a couple of weeks for a response. My understanding is they have 30 days from submission to respond. Share this post Link to post Share on other sites
hurley911 59 Posted January 18, 2013 Still waiting... Going nuts... Call every day 2-3 times a day have asked for supervisors and the supervisors supervisor.... No call..... cust service just says sorry still pending ill log in to have someone call you... Sigh... Giving up hope... I had found out last week that the case worker was trying to reach the HCG physician doc so I called her and she called him last Friday (next day) after I lit the fire for her to call as I thought that was the delay... Still nothing... The date on my file said they had until the 7th to get back to me.... It's now the 18th awesome!? Just out I options and cannot believe how unperfessional it is... Also no help or response from my surgery coordinator.. She called me in dec saying she would try to reach someone as they contact a diff dept.....that is faster.... Nuthing.... Share this post Link to post Share on other sites
futuresleever 44 Posted January 18, 2013 Do they have a corporate phone number? Share this post Link to post Share on other sites
KickRocks 163 Posted January 19, 2013 That's awful. We haven't submitted mine yet. They are planning to do that around the 15th of feb, However I don't have the stupid 3 year weight history they want since i didn't go to the Dr at that time so I am sure i wont get approve. The Dr's office thinks otherwise and will include pictures for those years. Either way I am not getting my hopes up. I plan to just go to MX. March 7th. It's going to cost me 2,000 more going that route but it will keep me from going crazy trying to fight with them lol. Hopefully you will hear something soon! Share this post Link to post Share on other sites
hurley911 59 Posted January 21, 2013 Spoke to the third up supervisor Friday he actually called me 3 x just saying he is working on it and hasn't forgotten me.... He said to give him until Monday so I guess I will wait for tomorrow... Better then nothing but still highly disappointed in them! Good luck with your appeal ! Hope it works out and if not good luck in MX. Who u going with in MX that is only 2k more? So it's around 6k? Share this post Link to post Share on other sites
hurley911 59 Posted January 22, 2013 Update::: so called today spoke to supervisor, and he said he was meeting with everyone working in my file to find out what was taking so long and would call me with an update by end of day... Well it's 5 and no phone call... Sigh.... He has until tomorrow or its off to BBB and corporate office for formal complaints..tired... Should not take this long ....period Share this post Link to post Share on other sites
hurley911 59 Posted January 25, 2013 Update ::::: spoke to 3rd up supervisor today after he didnt respond for 2 days... I tracked him down... He apologized but found out I was denied because my 6 month diet wasn't in the last year... Denied in Sept with no word from 4 different case workers and supervisors... I told him it Would of been nice to know so I could of started the diet again in Sept and would be done in March.... Needless to say he already knew I was going to say this and said I should of been notified in Sept and it was unacceptable on bcbs side... Therefore he is taking to the board to ask for it to be overwritten/waived do to their inability to do their job.... He said several people will be reprimanded and also disciplinary action will be taken... He should know an answer by tomorrow.... Guess that gives me some hope.....! We will see... FYI---My insurance again is BCBS of ALABAMA. Share this post Link to post Share on other sites
futuresleever 44 Posted January 26, 2013 I am slowly learning that we have to be our own advocates. I am glad you kept on it, you'll ne sleeved in no time. 1 hurley911 reacted to this Share this post Link to post Share on other sites
hurley911 59 Posted January 26, 2013 No answer today as promised back to the stalking phone calls Monday.... Sigh ....MX looking more and more easy... Share this post Link to post Share on other sites
KickRocks 163 Posted January 31, 2013 Have you heard anything yet?! Share this post Link to post Share on other sites