Help! Insurance Question

[Laverne1908 28]

I need some help I am sooo confused!! I am in the State of Mississippi and my insurance is State and Teachers Insurance/BCBS.. and this is their first year covering bariatric surgery. They have changed so many things in these past few weeks. I was informed of the policy changes in October and I have completed all pre testing.. Psych, sleep study, labs.. PCP clearance.. etc.. And I had my surgeon consult Jan 3rd.. This is the issue. I was told that we had to have 6 month supervision diet beginning January 1,2013!!! ugggghhh... With that being said... I have already had over a year of supervision with my PCP and with my insurance weight management program. Well earlier this week I received a call stating that the State has changed the requirements that we CAN use the previous months... SO I AM READY is what they told me and my bariatric coordinator, Mary states that she will submit my information for pre-cert.. My question is what happens now? What is the turn around time? What if I am denied? I have been busy with tasks since I found out about the policy changes.. I have began to work out and watch what I eat and I have lost 28 pounds to show my determination to this lifestyle change.. :D

[SoccerMomma73 1,867]

I need some help I am sooo confused!! I am in the State of Mississippi and my insurance is State and Teachers Insurance/BCBS.. and this is their first year covering bariatric surgery. They have changed so many things in these past few weeks. I was informed of the policy changes in October and I have completed all pre testing.. Psych' date=' sleep study, labs.. PCP clearance.. etc.. And I had my surgeon consult Jan 3rd.. This is the issue. I was told that we had to have 6 month supervision diet beginning January 1,2013!!! ugggghhh... With that being said... I have already had over a year of supervision with my PCP and with my insurance weight management program. Well earlier this week I received a call stating that the State has changed the requirements that we CAN use the previous months... SO I AM READY is what they told me and my bariatric coordinator, Mary states that she will submit my information for pre-cert.. My question is what happens now? What is the turn around time? What if I am denied? I have been busy with tasks since I found out about the policy changes.. I have began to work out and watch what I eat and I have lost 28 pounds to show my determination to this lifestyle change.. :D[/quote']

Now you wait!!! That's he worst stinking part :/. You've done your job, sounds like your surgeons office did there's, it's out of your hands . Turn around for most is a few days to a couple weeks. If you are denied then your case coordinator will know how to appeal but honestly it sounds like you've done your research and have all your ducks in a row!!!!

Take this time to educate yourself on postop life. Pray, and dream of how awesome you'll be feeling by summer!!!! Good luck!!!

[BBdoodle 483]

Once your surgeon submits everything to the ins. company, its just a waiting game after that. Mine was submitted on a Monday and I was called on that thrusday that it was approved.