Rena's got this 274 Posted November 14, 2013 My paperwork was submitted to BCBS of AL on Monday, 11/11/13. I called BCBS today and they said it was still being reviewed, and then they reminded me that they have up to 30 business days (not including weekends) to review my case. That is a month and a half! Ridiculous!! I'm going to be calling them at least twice a week just to be the squeaky wheel! I really want to get this surgery done before the end of the year. Share this post Link to post Share on other sites
Jerzygurl 372 Posted November 14, 2013 Packet sent in last Thursday, and still no word. Was hopeful after hearing people say it only took 24 hours for them to get a response. Called HBCBS NJ and they said they won't give me an answer over the phone, to wait for a call from my surgeon's office.I'm a stay-at-home mom right now so my days are wide open and I honestly don't know what to do with myself until I hear back! Glad you got approved! Share this post Link to post Share on other sites
Rena's got this 274 Posted November 15, 2013 OMG....it has only been a day since I called BCBS to see if I've been approved, and I want to call them again! Is this usual? Can I not wait until at least next week??? I MUST learn to have patience.... Please Lord, give me patience, and give it to me NOW! Share this post Link to post Share on other sites
Rena's got this 274 Posted November 20, 2013 Found out today that I've been denied....sigh. Now comes the appeals process. I was soooo hoping to get this done by the end of the year. Share this post Link to post Share on other sites
jayakay425 6 Posted November 21, 2013 Did they tell you why you were denied? If you don't mind me asking Share this post Link to post Share on other sites
Rena's got this 274 Posted November 21, 2013 Yes... they said my BMI wasn't 40+ for the last 3 years, and although my BMI was over 35 for the past 3 years, my co-morbidities weren't bad enough. They also said that my primary doctor didn't document the 6 month diet that I did with her recommended dietitian. I should get a letter spelling everything out, then I'm going to try for an appeal. I watched "The Biggest Loser" last night and was shocked that most of the women weighed less than I did. They looked huge to me. Surely I don't look that big, so they must be awful short! Who am I kidding... I look just like them. Share this post Link to post Share on other sites
skinny_minnie_wannabe 30 Posted December 5, 2013 I'm currently waiting and I'm a nervous wreck. I have been calling the doctors office and the insurance every day. I'm being a bug but they don't seem to mind. Apparently the documents have been sent but BCBS IL says they don't see it. I'm worried about being denied because I started out at 39.5 BMI and I'm not sure if I meet the co-morbidity requirement. I have high cholesterol and asthma. I'm crossing my fingers that I will hear something tomorrow. What an intense experience! Share this post Link to post Share on other sites