Denied for Revison BCBSIL

[iagree2shine 52]

When I had my first surgery two years ago, they approved right away. Now here it is me having a hiatal hernia you would think they would approve. They stayed due to being out of compliance with the program I caused this. Umm no! The moment I had my sleeve I had heartburn and never went away. But I did wind up pregnant 9 months after surgery due to my birth control failed. My surgeons office have submitted multiple appeals and nothing! I don't know what they want from me.

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[middlebeaver 10]

How long have your appeals taken before you received word?

[iagree2shine 52]

I don't know. My center just told me that they have been appealing it. So next step is peer to peer

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[iagree2shine 52]

So my peer to peer was denied as well. It was today and my surgeons office called right away. Don't know what else to do. I'm supposed to go speak with them of what can be done next. But this pain I'm in sucks!

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[Steven1954 89]

You need to appeal to state insurance dept

[iagree2shine 52]

My job said that I can't due to the way our insurance is set up @@Steven1954 and I'm out of appeals and in so much pain.

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[offthebandwagon 10]

Try Lindstrom Obesity advocates

[Marissa.Ann.C 21]

They don't pay for revisions at BCBS. They consider them "experimental". Doesn't matter, if you've already had a surgery then they won't do it.

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