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Highmark BCBS approval timeline?



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I just had my FINAL 6-month weigh in, Monday and i'm down 49/50 lbs since i began! I could not be prouder of myself. I'm "slated" to have gastric bypass in mid- to late January and my surgeons office just submitted all my information to insurance yesterday (Tuesday). Anyone have Highmark BCBS of Pennsylvania that could give me a timeline of how long i'll hear if i'm approved? I'm so nervous waiting, i can barely sit still! I still have 2 pre-op appointments, one EGD procedure and an eco of my heart. I'm 90% there!

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Sorry, I don't have Highmark BSBC but I do have BCBS FEP and I know for me it was just a couple of days after I proved I had 6 months of supervised medical weight loss. Hopefully it won't take too long.

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I have highmark PPO and they submitted one day and called me with approval the next. ( in PA as well. Are you in Pittsburgh area?

Sent from my iPhone using the BariatricPal App

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@@sherri~ i'm having my surgery in Pittsburgh, but i'm from the State College area. Mine was submitted Tuesday, but it hasn't show up as a 'claim' on Highmark's website. My surgeons office takes care of sending all paperwork to insurance, so i trust they sent it. I hope so anyway, haha

Have you already had your surgery?

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Yes I did 6 weeks ago. It's been pretty smooth all in all. If you're going through hope bariatrics I can vouch for their professionalism and expertise

Sent from my iPhone using the BariatricPal App

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I'm going through Allegheny Health Network, i'll have my surgery at West Penn.

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@cls5186 I see you're from near state college! I am too. Would love to connect and hear how everything went for you!![emoji846]


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@hannah_621 hey! yeah I'm in State College, are you also in the area? Are you pre-op or post-op?

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I'm pre-op currently! I used to work in state college for Mount Nittany. I live like 35 minutes away in a super small town closer to philipsburg. End up in state college all the time though!


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Small world, I'm from Clearfield originally! I work at Accuweather currently in State College.

But about surgery, haha. My date was Jan. 23rd and I had it done in Pitt. by an awesome surgeon. I'm about 8 weeks pre-op, everything seems to be going ok except it's so hard to poop! Haha and it's uncomfortable at times. I miss some foods though, carbs being a big one!

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That is a small world!!! I'm glad to hear everything is going well! I'm going through Geisinger currently and meet with the surgeon on 4/17. I can definitely see missing carbs! Do they have you taking any stool softeners or anything for that? I bet it's uncomfortable for sure.


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I know a lot of people who have gone to Geisinger for their sleeve or bypass and made out fantastic. But yeah, i just started taking stool softeners and it has helped a bit, but still the feeling of rocks in my stomach stays-which stinks. Any other questions you have, let me know! I'll answer em for ya!

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7 minutes ago, kristin16666 said:

Hi everyone i am from philipsburg area and having my surgery through geisinger i am going to my first appt. Tomorrow and am so excited just cant wait to start my new life!


Hi Kristin! That's who I'm going through! I just was cleared by everyone and have a little more weight to lose before seeing the surgeon! Good luck!! Please keep in touch and any questions I'll try to help with! It's a tough journey but worth it!! ☺️

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I'm going through Allegheny Health Network, i'll have my surgery at West Penn.

Is dr Eid your surgeon? I'm also going through AHN!


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    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
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      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

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      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

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        Well done! I'm 9 days away from surgery! Keep us updated!

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