Is Anyone Else Waiting To Be Approved Right Now?

[NewAshes 232]

I was submitted Tuesday t11-26-13

[Rena's got this 274]

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.

[kan75251 66]

I am and it is DRIVING ME CRAZY!

[jayakay425 6]

Yes!!!! My paperwork was assigned to a case worker on 11/22 and now playing the wait game! Hopefully I can hear something this week!!!

[NewAshes 232]

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?

[NewAshes 232]

I'm hoping to hear back next week

[Rena's got this 274]

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!

[NewAshes 232]

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!

[BryBro63 410]

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.

[NewAshes 232]

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.

[Superfluous 19]

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