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Playing the waiting game BCBS TX



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Hello All,

Im new to the forum but Ive been reading and more and more im getting anxious and inspired by all the stories. I have BCBS TX and I started my journey 06/23/14 only req'mts were BMI 40 + (mine is 42.6) Psyc eval, Nutrition counseling, and EGD. All have been done my file was rcv'd by ins on 08/01/14, and as of today its in review, im a little nervous and scared of being denied. I wondering how much longer will I have to wait!?!?! My tentative surgery date is 09/26/14 but could be sooner if approval process picks up the pace. Please enlighten me with hope lol

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I have no enlightenment for you but I do wish you the very best on your journey! Good luck and hang in there!

​Summer

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I have BCBS as an employee of the State of Texas. I feel really blessed. My insurance was filed on a Friday and they approved it on the following Tuesday. I had all my medical records and supervised weight loss verification in hand on the first visit with the doctor. As soon as I completed my test, they filed my insurance. Everything fell into place without any problems. Felt like God was telling me it was my time!!

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Im praying the same outcome TexasLady!! Ive literally been calling them everyday and I feel bad for doing so.

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Im praying the same outcome TexasLady!! Ive literally been calling them everyday and I feel bad for doing so.

I don't feel bad for calling my insurance everyday since July 21...... They don't feel bad for having me anxiously waiting for my file to come out of "review" after they make you do 6 months nutrition/dietician, physicshiatrist eval, prep group, support group and they already know you're overweight be it just that, obese, morbidly obese, super obese or whatever other name that they can think of instead of just helping you when the conclusion is, after everything else failed over the years, is WLS. I don't get it..... Then they tell me that they have up to 30 days to approve or disapprove the procedure! :(

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I don't feel bad for calling my insurance everyday since July 21...... They don't feel bad for having me anxiously waiting for my file to come out of "review" after they make you do 6 months nutrition/dietician, physicshiatrist eval, prep group, support group and they already know you're overweight be it just that, obese, morbidly obese, super obese or whatever other name that they can think of instead of just helping you when the conclusion is, after everything else failed over the years, is WLS. I don't get it..... Then they tell me that they have up to 30 days to approve or disapprove the procedure! :(

Well I spoke with them again today and I was advised that its currently being reviewed and to allow a couple of more days which will make the 7th business day...and u better believe I will be calling first thing Wednesday morning. I can take the suspense! The docs office gave them a tentative date of 09/26/14 im hoping if approved that can be moved up! ANNNNNNNNND on top of that the surgeons office was to call after my results from my EGD were done to schedule, I call them and she states my results are on the docs desktop and he wont b back until 2moro....I CANT TAKE IT !! PRAYING FOR A SPEEDY APPROVAL FOR ME AND EVERYONE ELSE GOING THRU THE MOTIONS

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I received a call today 8/26/14 informing that my VSG procedure was approved on Friday 8/22/14!! :) the insurance rep also stated that I have approval for the RNY too!!! Now I'm waiting on the call for surgery DATE

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Very Happy for You! Good Luck!

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I have BCBSTX and it was received by them on 8/11. I got my approval in the mail on 8/29. I called them on 8/25 and they told me it had just been approved. Hope this helps with timing question.

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Well you guys my approval came on 08/18 and I rcv'd a call today from surgeons office stating that they rcv'd by med recs from Tru Results and I'm cleared and scheduled for surgery 10/10/14!!!! TOTALLY EXCITED AND NERVOUS at the same time! :unsure: :D :blink:

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Totally excited for you! You will do great!

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I received an email yesterday from surgeons office saying that the insurance company called them and approved my surgery. 5 days wait...and on a long holiday weekend. Boy was I surprised!

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I received a call today 8/26/14 informing that my VSG procedure was approved on Friday 8/22/14!! :) the insurance rep also stated that I have approval for the RNY too!!! Now I'm waiting on the call for surgery DATE

September 26, 2014 my new life journey begins:)

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