Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Is Anyone Else Waiting To Be Approved Right Now?



Recommended Posts

I was submitted Tuesday t11-26-13

Share this post


Link to post
Share on other sites

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

Share this post


Link to post
Share on other sites

I am and it is DRIVING ME CRAZY!

Share this post


Link to post
Share on other sites

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

aww how come you were denied?

Share this post


Link to post
Share on other sites

I'm hoping to hear back next week

Share this post


Link to post
Share on other sites

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

aww how come you were denied?

My BMI wasn't 40+ over the last 3 years (yo yo dieting when I was weighed by my Doc), and the co-morbidities that they want that I have aren't severe enough. I'm appealing based on the fact that I have a number of co-morbidities that total up to a significant amount, even though they aren't all the ones they have listed. Also they said my 6 month diet didn't include any doctors notes, even though it was by a registered dietitian supervised by my primary care doc. I think my doc pulled her notes and sent them in, so that is taken care of at least!

Share this post


Link to post
Share on other sites

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

aww how come you were denied?
My BMI wasn't 40+ over the last 3 years (yo yo dieting when I was weighed by my Doc), and the co-morbidities that they want that I have aren't severe enough. I'm appealing based on the fact that I have a number of co-morbidities that total up to a significant amount, even though they aren't all the ones they have listed. Also they said my 6 month diet didn't include any doctors notes, even though it was by a registered dietitian supervised by my primary care doc. I think my doc pulled her notes and sent them in, so that is taken care of at least!
good luck to you!! Hopefully things work out!

Share this post


Link to post
Share on other sites

Very frustrating!!! I was submitted on 11/5/2013, and still waiting for a decision!! I've been calling the surgeon's office, and they keep telling me that they answered all their questions, and providied all requested information to Aetna. I call Aetna, and they told me 'we are working on your case as we speak, and will have a decision for you by the end of the day'...I was told the EXACT SAME THING every other day from 11/13 until 12/4, when all of a sudden I'm told my case was 'moved from team 1 to team 2' and they haven't looked at it yet!!! Now according to them, my case is now at the bottom of the pile again!!! My original surgery date WAS 11/21.

Trying not to let frustration and discouragement get the best of me, but it's getting more and more difficult!!! I have no idea why I would be denied...I have a BMI of 47, with high blood pressure, sleep apnea, and borderline diabetes...but of course the only thing I can do is wait.

Share this post


Link to post
Share on other sites

Very frustrating!!! I was submitted on 11/5/2013, and still waiting for a decision!! I've been calling the surgeon's office, and they keep telling me that they answered all their questions, and providied all requested information to Aetna. I call Aetna, and they told me 'we are working on your case as we speak, and will have a decision for you by the end of the day'...I was told the EXACT SAME THING every other day from 11/13 until 12/4, when all of a sudden I'm told my case was 'moved from team 1 to team 2' and they haven't looked at it yet!!! Now according to them, my case is now at the bottom of the pile again!!! My original surgery date WAS 11/21.

Trying not to let frustration and discouragement get the best of me, but it's getting more and more difficult!!! I have no idea why I would be denied...I have a BMI of 47, with high blood pressure, sleep apnea, and borderline diabetes...but of course the only thing I can do is wait.

i would be so angry. I was told my case is being reviewed so I'm going to call them later today. Doesn't your insurance have a certain amount of time? I was told mine has 14 days.

Share this post


Link to post
Share on other sites

Yep, I'm waiting too. Just had my last consult with the surgeon and all my paperwork gets submitted tomorrow.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×