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

Scheduled surgery while waiting for approval?



Recommended Posts

Hi everyone. I was wondering if some surgeons schedule the surgery while waiting for the insurance to approve. i would hate to wait up to a month for approval from bcbsnc and then wait another month for my surgery to take place.

Share this post


Link to post
Share on other sites

Every insurance/surgeon process is different. I got my date after approval. Way after approval. But someone else's experience is probably entirely different.

Good luck!

Share this post


Link to post
Share on other sites

My surgery was scheduled the same day they submitted to insurance. I don't know if they always do that or if they did that because they know I am trying to get my surgery in before school starts back up. It might depend on your insurance. My bariatric coordinator is extremely knowledgeable about my insurance company. She said they process a lot of claims through BCBS.

Share this post


Link to post
Share on other sites

I also have BCBS and I am hoping and praying they approve me!!!! Send positive thoughts my way! Say an extra prayer! I can't keep living with this GERD! Good luck!!!! Let us know when you get approved!

Share this post


Link to post
Share on other sites

Mine wouldn't even contemplate setting a date before approval. And it's a good thing they didn't, since my revision approval took forever because SAMBA/Cigna was being a pain in the you-know-what about approving it. It took almost 3 months for just the submission/denial/appeal/denial/appeal/peer-to-peer/approval process, not including any of the pre-submission hoops that I had to jump through. Now I have to do my medical clearances, but I'm hoping to talk them into setting a date so that I can request time off of work and get my mom a plane ticket to come and stay with me.

Share this post


Link to post
Share on other sites

Just got my call today that I was approved for my revision from sleeve to bypass! Was submitted to BC/BS PA only 2 days ago! I was approved because I have stenosis with SEVERE GERD! Surgery date 8/31... Good luck everyone waiting to hear..

Share this post


Link to post
Share on other sites

Bcbsnc I was told you have surgery first, someone told me as long as you got bypass on your coverage all u pay is copay I have same company buy can't afford copay :( so I'm waiting and I have to see what my new surgeons take :(

Share this post


Link to post
Share on other sites

I am scheduled for surgery on Aug. 27 and have still not heard back from insurance. The nurse at Anthem has sent my case to the physician at Anthem. I have my pre-op and final appointment with my surgeon...I hope. I am going to be devastated if denied. Anyone else experience anything similar?

Share this post


Link to post
Share on other sites

I have a tentative date --it was 5 week after the date of submission, but she said if it came back right away they could try and make it sooner--

Share this post


Link to post
Share on other sites

I am still in the process of gathering all the info I need to get approved. My last NUT visit is Dec 1 and surgery is scheduled for December 15. I'm praying for a fast positive decision. I guess it depends on the surgeon.

Share this post


Link to post
Share on other sites

I was given a tentative date of Oct 5th while waiting for approval. One thing I can say- is be persistent! I kept calling my insurance company to see if my Dr's office had submitted, and finally called my Dr's office and raised hell. The squeaky wheel gets the grease!

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

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • 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!

  • 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

    ×