Pre- Op Insurance Approval Question

[SammiSosa 0]

Does anyone have BCBS Anthem how long does it take for approval? My paperwork was submitted today.

[Harsha 168]

Following.. I also have BCBS. This Wednesday is my last 6 mo required doctor visit and then they will submit to insurance for approval. I will be so upset if it takes forever or I get denied.

[Chelle Bean 51]

Mine took a few weeks but only because all the paper work was not submitted maybe 3 weeks or 4 but I called everyday just about! The insurance company told me that they have to tell you it takes 30 days to get a answer but it shouldn't she said. Good luck

[Jessica Ellison-Correa 66]

I have anthem and am wondering the same my self ill submit in a few months so I want to know how long it will take as I'm impatient

[SammiSosa 0]

So I just spoke with the Rep from Anthem and The Drs Office hasn't sent in my paperwork yet Ughhhhh. Also she mentioned that it only takes up to 5 days for approval once they recieve all the required Clinicals. I'm going to give Medstar until Thursday before I become annoying Nanny lol. I really need to know because of my job Smh! This process is so worrisome >_<

[mskittykat03 113]

I also have Anthem BCBS. My Dr office submitted but they insurance rep didn't like that she had to actually read the Drs notes etc. It was denied when I called (Anthem) they said it was not yet submitted..... But I got the letter in the mail the same day. Grrr. The Dr office resubmitted & called Anthem. They put it through within a day.

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[Teapot 26]

I have Anthem and while I haven't yet asked for WLS approval, with other things it can be highly variable. It took them nearly 2 months to approve me to get a sleep study. A couple weeks later it took them a couple days to approve a sleep study for my husband. Maddening.

[mskittykat03 113]

I made sure they covered the wls before I even started. Some policies specifically exclude it! Grr. I think I was lucky, there were no issues. I'm 4 days post op.

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[SammiSosa 0]

Wow that's awesome. Hoping to hear something soon.

[middlebeaver 10]

I was denied today for revision.

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[Clarevoyant 347]

Ugh sorry. What reason did they give?

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[Daenerys Targaryen 109]

I was denied today for revision.

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I am so sorry. My revision surgery was scheduled for yesterday, but insurance denied me too. I had my surgeon do a peer-to-peer phone call, and now insurance is reconsidering the decision (no answer yet). I had to request the peer-to-peer, it was not something my surgeon's office automatically offered. Just an idea if you are looking for a next step.

[middlebeaver 10]

I was denied because my psych evaluation was not ideal. I knew from the beginning of my visit with this shirk, this wasn't going to go well. She didn't say I should not have the surgery, but it is up to the doctor and patient. Secondly, I paid to have gastric sleeve in 2013, and they felt I didn't stick with it. I lost 70lbs, but that's where it stopped. I don't know what these people want.

I'm filing an appeal ASAP. Obesity help.org has a form to use. Second, I have a new psychological scheduled for tomorrow.

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[middlebeaver 10]

I asked my doctor about the peer to peer and they said in their experience it's a waste of time. I wish they would at least try.

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[Daenerys Targaryen 109]

I asked my doctor about the peer to peer and they said in their experience it's a waste of time. I wish they would at least try.

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I found out tonight on my insurance's website that my peer-to-peer resulted in another denial, so maybe they are a waste of time. I don't know. I have contacted Lindstrom Obesity Advocacy group to handle my appeals process. Good luck with your appeal!