Insurance

[Pperkins2017 3]

Does anyone have BCBS of Texas? I was given my checklist for insurance approval.

psych eval- done

sleep study- done

1 nutrition visit- doing 4/18

stress test- doing 4/18

echocardiogram- doing 4/18

anyone else have these requirements and completed them? How long before approval? Surgery day?

[Kat36 7]

I have BCBSTX under the University of Texas plan and I was given the same checklist which was my surgeon's requirement. After I cleared all his requirements BCBS denied approval. Once your surgeon submits your pre-determination paperwork you should know something within two weeks. What criteria is required by your plan to meet eligibility?

[Pperkins2017 3]

I have BCBSTX under the University of Texas plan and I was given the same checklist which was my surgeon's requirement. After I cleared all his requirements BCBS denied approval. Once your surgeon submits your pre-determination paperwork you should know something within two weeks. What criteria is required by your plan to meet eligibility?

BMI of 40 or 35 more with 2 comorbilities.
Psy evaluation
1 nutrition visit
sleep study

[Pperkins2017 3]

I have BCBSTX under the University of Texas plan and I was given the same checklist which was my surgeon's requirement. After I cleared all his requirements BCBS denied approval. Once your surgeon submits your pre-determination paperwork you should know something within two weeks. What criteria is required by your plan to meet eligibility?

Did you ever get approved?

[Kat36 7]

Not yet I have to see my PCP which was not required however my surgeon's office and insurance say that if he includes more in my medical records about my BP it may help with the appeal. I'm going to ask him to write not a clearance but a recommendation.