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Submitting to Insurance!

tallow2102

By tallow2102, in Insurance & Financing

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tallow2102    16

tallow2102
Posted

I'm soooooo nervous! Today was my final nutrition visit, and I am on cloud 9. My insurance, Highmark BCBS required that I do 6 months of nutrition, and a phych evaluation which has all been completed. They plan on submitting to my insurance today. My BMI is 37.9, it was higher but I have lost a little weight during my 6 months nutrition. I also have other comorbities so I am praying I get approved. Let the waiting game begin, as I bite my nails[emoji23]

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applejenn    173

applejenn
Posted

Good luck

~Jenn~

Surgery date 5/18/16

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ld33    94

ld33
Posted

I'm soooooo nervous! Today was my final nutrition visit, and I am on cloud 9. My insurance, Highmark BCBS required that I do 6 months of nutrition, and a phych evaluation which has all been completed. They plan on submitting to my insurance today. My BMI is 37.9, it was higher but I have lost a little weight during my 6 months nutrition. I also have other comorbities so I am praying I get approved. Let the waiting game begin, as I bite my nails

Best wishes. I would wait a week and then follow up if you don't hear anything. I waited two weeks and then called the surgeon's office and miraculously my decision had just came through.

Sent from my SM-G928T using the BariatricPal App

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Shanni1269    73

Shanni1269
Posted

Good luck, I thought I was submitted on April 13th only to find out the submission was incomplete and when I called the surgeons office I was given the run around about waiting on results from some test that NEVER happened and I did not need because my endoscopy was totally normal.

UGH

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Careysgirl    20

Careysgirl
Posted

You'll get the approval in 24 hours BCBS is quick with approvals.

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Shanni1269    73

Shanni1269
Posted

I hope so...once they figure out how to submit it properly

Sent from my SM-N920P using the BariatricPal App

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WantToBe    77

WantToBe
Posted

Mine was also submitted on April 12th. I am in hopes of quick approval but CIGNA is notorious for rejecting prior to approval. They rejected the removal of my lap band - had to have a peer to peer consult before approval.

Fingers crossed for everyone to receive approval.

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B_D    54

B_D
Posted

Mine was also submitted on April 12th. I am in hopes of quick approval but CIGNA is notorious for rejecting prior to approval. They rejected the removal of my lap band - had to have a peer to peer consult before approval.

Fingers crossed for everyone to receive approval.

Hi @@WantToBe :) I'll keep my fingers crossed for you! I am with Cigna and the girl at my surgeons office said lately she couldn't believe how fast approvals started coming in from them. Lots were within 1-3 days. I will be praying for a quick approval for you!

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WantToBe    77

WantToBe
Posted

Thanks, B_D. Wouldn't that be wonderful to have approval so quickly! I have had WLS before so not sure why I am so nervous this time. I'm 12 years older yet 100 pounds lighter so it might be a wash. I'm looking forward to see what April 2017 brings for me and all other sleevers.

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mrsdoubtfire    33

mrsdoubtfire
Posted

Mine was submitted on the 11th to Cigna and I am still waiting...automated system says "pending." This part is driving me nuts, I just want to know it's approved no matter how far out they schedule me, at this point I would just be happy to have a surgery date.

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B_D    54

B_D
Posted (edited)

Mine was submitted on the 11th to Cigna and I am still waiting...automated system says "pending." This part is driving me nuts, I just want to know it's approved no matter how far out they schedule me, at this point I would just be happy to have a surgery date.

Yes, having a surgery date makes it so much more real. Cigna should have just 15 days to approve or deny (or ask for further information). So you should hear something by the 26th. Hopefully it won't be that long!

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Edited by B_D

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tallow2102    16

tallow2102
Posted

Well, I am still waiting... Errrr! The suspense is killing me!!! I called the Drs office to make sure it was submitted last week. haha! They said it was so we will see!! I'm dying to know!!!

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Shanni1269    73

Shanni1269
Posted

That is awesome congrats. Mine was resubmitted yesterday and I am hoping dor a quick approval so I can have a May date as well

Sent from my SM-N920P using the BariatricPal App

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B_D    54

B_D
Posted

Got the call!!!! I was approved!!! I'm so excited!!! My surgery date is May 10th!!! Eeeeek!!!

Congrats to you!!!! ????

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Go To Topic Listing Insurance & Financing

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