Eight days away from surgery and insurance may not approve!

[mrsmissa93 13]

So I did everything that I was told. Six months supervised nutrition visits, Doctor after Doctor clearances and now my surgery coordinator submits for my approval for the 14th and mind you I have been on my pre op diet since last week and she says that Empire Blue Cross Blue Shield is maybe going to deny for one more visit because how they count months!!! This is crazy and so nerve racking. I've been on the journey for a while now and never missed anything and followed the plan. Yesterday was the first time I wanted to give up. I'm trying to have hope that the insurance approves it but they say they're still waiting on clinical from Doctor and of course the Doctor says they've sent it. Feeling depressed for the first time in the whole process. Sorry. I had to vent. Has anyone else had a problem like this? Thanks

[Inner Surfer Girl 12,015]

I always find it helps to assume the best until you have evidence otherwise. If they do happen to require an extra visit or you have to appeal, it just may mean that you have a small delay.

Stay positive, and focus on what you can do and have faith that everything will work out.

I experienced some long delays due to financing issues and even had to repeat some tests because of the delay, but it all came together at the right time.

Just be positive, proactive, persistent, and patient.

It will be worth it.

[mrsmissa93 13]

Thank u so much. You are right. Staying positive will definitely give me peace of mind and in the end it'll work out as its meant too. Thank u

[mrsmissa93 13]

I was approved!!! January 14th is the date. Six days away. So excited. Thank you so much for the words of wisdom and faith.

[Inner Surfer Girl 12,015]

I was approved!!! January 14th is the date. Six days away. So excited. Thank you so much for the words of wisdom and faith.

Yeah! Congratulations! Saving a seat for you on the losers bench...

[Mistie 201]

Congrats!!!

[snapdragon05 44]

I am 9 days from surgery and still waiting approval. I too have empire bcbs. I was told they were counting days so my original date of Nov 30 was moved up to January 18. May I ask what your BMI and co morbs are? I am just trying to get a feel if I will be approved.

[mrsmissa93 13]

Sure my BMI is 44 and I don't have any CM. The insurance people were so nice and I think calling them and staying on top of it was key. You have to have a BMI greater than 40 and six months of nutrition classes or a BMI of 35 or greater with CM plus also the six months of classes and also need the psych eval and such. Hope it turns out good for you

[snapdragon05 44]

I got approval yesterday at 430 pm. I was sweating it !

[DNCE 1]

@@mrsmissa93 Congratulations! I hope your surgery went well

I also have Empire BCBS--would you mind telling me the start and end date of your 6 months' supervision? I will have 6 actual weigh-ins next month but I've heard that they might require 7. My weigh-ins are around the middle to end of each month. I already got denied once so I'm really trying to get things approved correctly this time--any advice would be much appreciated!

[bosschick_vsg 6]

@@mrsmissa93 Congratulations! I hope your surgery went well

I also have Empire BCBS--would you mind telling me the start and end date of your 6 months' supervision? I will have 6 actual weigh-ins next month but I've heard that they might require 7. My weigh-ins are around the middle to end of each month. I already got denied once so I'm really trying to get things approved correctly this time--any advice would be much appreciated!

I'm going through the same thing with Empire BCBS today was suppose to be my last visit #6 and know I have to go back in March for visit #7 before it can be approved. I hope the process is fast. The office coordinator told me don't worry and that I should be approved for my 3/18 surgery date. Fingers crossed

[Electrix 0]

Ooh....I hope you are all still following this thread. I was submitted to empire bcbs this morning with 6 dietitian visits under my belt. Granted, tomorrow is Xmas eve and the world is generally non-productive for the next week, but how long did it take you to hear back from them? I'm really hoping it doesn't take the 30 days to find out...

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