IBC Personal Choice PPO in PA coverage

[morningdew 9]

Good luck!!

[jadira30 5]

Its been 1.5 weeks since submission to insurance company. No word yet if approved or not. How long does rhe approval/denial process take??? Im so anxious. I cant afford self pay. Any suggestions or experience with bcbs personal choice ppo would be sooo appreciated

[Tiny One 223]

I got my approval within a week of submission. I would call your coordinator or you can call IBC to get the status. Good luck.

[jadira30 5]

Thank you

[jadira30 5]

Well im extremely pissed right now. I called my insurance company and they have no record of any wls document submission. I called my dr iffice n they are being shady so now i have lost trust in them. So im looking at Barix Clinic in Langhirne, pa. If anyone has used this facility i would love to hear from you. If anyone changed dr's during the process how did it work?? Do i have to now repeat all the steps. Im so disgusted!! Please give me some hope

[Brownrek 21]

I know someone who used them and she was happy. Sorry you are having problems. Good luck.

[Tiny One 223]

Hey, don't get discouraged. I worked at IBC for years & now work as a patient advocate. My experience with the insurance reps is some may not be knowledgable enough to know where to search. So when you called IBC, did you only ask them to check for the WLS documents? If so, the member service rep is only going to check incoming documents. It's possible the doctor's office may have called in the request or submitted it electronically. Not all of IBC's reps are experienced enough to know all of the systems to check. You may want to call back and tell them that your doctor submitted a pre- cert request for WLS & you want the status. That way the rep can check the pre-cert/auth system or any other electronic system the docs use to communicate with IBC. If the don't understand or sound too knowledgable, request to speak with a supervisor so that they can research more thoroughly.

Good luck & please keep me posted.

[jadira30 5]

Thanx Tinyone. I clld the pre auth dept n nothing. I then went to the dr's office n they admitted they havent submitted my documents bc the dr isnt performing surgery at his new hospital yet. I set up an appt with Barix clinic in Langhorne, PA. Im just concerned i may have to repeat things i have already completed.

[Tiny One 223]

O ok, such a shame they didn't inform previously. from what I understand, you won't have to start over. My clinic, Abington, said they get plenty of patients that started the process at another clinic but had to transfer to them and IBC allowed them to transfer without starting over. Good luck.

[Phillys1stlady 32]

Hi Did you go to Barix yet? I'm n the Philly area n have IBX (personal choice network)...i have an appt with the Barix surgeon on Tues...one of my friends had her sleeve done there a few months ago n she loved the surgeon...nothing but positive things to say...I'm also gonna go to Main Line Health as well