offigo 6 Posted August 22, 2013 I got a call this morning from my doctors office finally that all of my pretesting is done and they do not require any other tests. They will get back to me on Friday with a surgery date. In the meantime they will get the approval. I am 41 BMI with no other health issues. Did many of you have a problem with insurance? If so, why? I have Blue Cross Blue Shield. They were hoping to get me in by then end of September. I feel like I am waiting for my life to start. I am so excited that I can't think of anything else. 1 ScottsGirl reacted to this Share this post Link to post Share on other sites
ScottsGirl 106 Posted August 22, 2013 Is it Blue Cross or Blue Shield? They are not one in the same. I have Blue Shield of California, and THIPA is my network provider and they are the facility that authorize or deny any procedure. I think you should be okay, I don't think that your network provider would authorize all of you pre-op procedures if they weren't going to authorize your main procedure. Make sense? If they deny you, then it would be because you didn't do something that you were supposed to, like lose the required amount of weight before surgery. Even then, I know ppl that lost a lot less than they were told to and were still approved. This procedure will not only save lives, it will save the insurance company a lot in claims in the long-term. They are about making a profit! Keep us updated Share this post Link to post Share on other sites
offigo 6 Posted August 22, 2013 Thanks so much for replying. I have Empire Blue Cross/Blue Shield. I am hoping that the Dr knew exactly what I needed to get it approved. They haven't asked me to lose anything yet. They asked that I not drop below the 40 BMI. I know this is going to be a tough road but I really can't wait. Share this post Link to post Share on other sites
Brighteyes 237 Posted August 22, 2013 I have Blue Cross Blue Shield (federal). Since I am trying to get surgery done ASAP (changing jobs and insurance companies) my insurance rep from the hospital said it should take up to two weeks get things approved. In the meantime she told me to start me pre-surgical diet so they can schedule me as soon as it is approved. But from what I have read on here most people with BCBS get approved in a couple days. Share this post Link to post Share on other sites
Aleembran 27 Posted August 22, 2013 Yes! I got approved with 48 hours:) Share this post Link to post Share on other sites
Brighteyes 237 Posted August 23, 2013 Yes! I got approved with 48 hours:) Congrats! Makes me hopeful mine can happen as quickly. Share this post Link to post Share on other sites
Juciilyps:) 67 Posted August 23, 2013 I have bcbs of tx and it's not covered..im a selfpayee Share this post Link to post Share on other sites
offigo 6 Posted August 23, 2013 I have bcbs of tx and it's not covered..im a selfpayee Aww I am so sorry, that's horrible. I really hope they gave me the right answer on the phone when they said it I should be covered. I hope to hear tomorrow when the surgery date is. Share this post Link to post Share on other sites