Highmark BCBS Delaware approval/denial?

[Michael1127 0]

Has anyone had any experience with Highmark Blue Cross Blue Shield Delaware in the approval/denial stage? I'm not at the submission stage yet -- I will be in October 2016 -- but I would like to know if anyone else has any experience. Thanks in advance!

[MarciaN 391]

Yes. I have Highmark. After completing their 6 required nutrition visits, Psych eval, completing my center's requirement and losing weight while doing it, I was approved. It took about 3 weeks to learn the results after my doctor submitted everything.

Good Luck!

[Typhanie85 3]

I have Highmark BCBS of Pennsylvania (not sure if its the same thing), and they approved me within one business day after submitting my 6 month medically supervised diet notes.

[bcl1628 26]

I have Highmark of DE as well. My coinsurance max out of pocket is $500. But there's also a "total max out of pocket" that's like $7k. According to the Highmark glossary, the coinsurance counts towards meeting the total out of pocket costs of $7k. What ridiculous terminology! Did you guys pay anything near $7k (if you dont mind me asking!).