Approvals with BCBS Federal

[Abby&IvysMom 22]

I was approved BCBS ( AHC) doing my endoscopy Thursday, EKG etc also on Thursday, then to regular MD for letter of need. Has anyone every had a problem getting this letter from their regular MD? Anyone here from N.C.??

[PlBren 21]

I have BMI of 38.8 and was approved. I have hypertension and arthritis which approved me.

Interesting. I too have arthritis - two knee replacements. And was told that is nothing the insurance would consider.

I don't understand how one insurance co can appear to be so different based on the Surgeon you chose. Frustrating!

[SleeveandRNYchica 1,155]

I just heard back from my insurance coordinator everything is finished. I just have 1 more weigh in. Early September. She said it takes 10-14 days for approval. I hope to have the choice between two Blue Distinction centers. So I am thinking I may be scheduled before end of Sept!

[nomoremeds 27]

Great news. Progress!

[SleeveandRNYchica 1,155]

Great news. Progress!

Thank you! It is!! So I can do my last weigh in by video.

[babbs2299 15]

Congrats SleevenChica!! Hopefully I'll be about 1 month behind you!

[SleeveandRNYchica 1,155]

Congrats SleevenChica!! Hopefully I'll be about 1 month behind you!

Keep me posted!!!

[PlBren 21]

Today is day 12 for me since my paperwork was submitted and still no word. Though according to customer service at BCBS, they don't have any record of any paperwork at all. But the insurance coordinator tells me to ignore them- that they don't know what is going on. So - who to believe?

[SleeveandRNYchica 1,155]

Today is day 12 for me since my paperwork was submitted and still no word. Though according to customer service at BCBS, they don't have any record of any paperwork at all. But the insurance coordinator tells me to ignore them- that they don't know what is going on. So - who to believe?[/quote

That is beyond frustrating? Did you call the main number or the number on the back of card for preauthorization? I find in odd BCBS had no record of your paperwork.

[scoutmom 63]

@

I, too, called BCBS to check on my status and was told it wasn't received or in the system.....not ten minutes later, my coordinator called with an approval code. My experience was that the 'system' takes several days after approval to be entered. So don't be surprised if you call and they say that haven't received. At least that is exactly what happened with me. Your insurance coordinator drives the train!

[PlBren 21]

@

I, too, called BCBS to check on my status and was told it wasn't received or in the system.....not ten minutes later, my coordinator called with an approval code. My experience was that the 'system' takes several days after approval to be entered. So don't be surprised if you call and they say that haven't received. At least that is exactly what happened with me. Your insurance coordinator drives the train!

Good to know Scoutmom - that makes me feel much better. Still - it will be two weeks on Monday and my insurance coordinator told me that BCBS is the quickest and they always here between 3 days and 2 weeks. I worry that denials take more time and thus I'll be getting bad news. Has anyone been denied by BCBS and then accepted on appeal?

[SleeveandRNYchica 1,155]

My insurance coordinator said 10-14 days.... It is interesting maybe she is being conservative....

[PlBren 21]

• I just got approved!!! But I have to wait until tomorrow to get my surgery date. Here are my stat's -

History of over 35 BMI for 2+ years

Moderate sleep Apnea

Hiatal Hernia

Arthritis in both knees (though my Dr. said they don't consider this)

Current BMI of 38 (started at 39 before I did my three month weight loss consulting).

So happy, it is in site. Starting my liquid diet today just in case I can get the surgery date of Sept 1st.

[SleeveandRNYchica 1,155]

• I just got approved!!! But I have to wait until tomorrow to get my surgery date. Here are my stat's -

History of over 35 BMI for 2+ years

Moderate sleep Apnea

Hiatal Hernia

Arthritis in both knees (though my Dr. said they don't consider this)

Current BMI of 38 (started at 39 before I did my three month weight loss consulting).

So happy, it is in site. Starting my liquid diet today just in case I can get the surgery date of Sept 1st.

2 weeks exactly! So happy for you!

[SleeveandRNYchica 1,155]

So @@scoutmom was absolutely correct all this time they said they didn't have it but now u at approved! So good to know!