HIP 2.0 - Anthem BCBS - Questions

[FerretJAcK 2]

I am new to this site and I have the Healthy Indiana Plan State Plus with Anthem BCBS. I was finally able to get my family doctor to refer me to St. Vincent's in Indy. I have my consultation Aug. 17th. I know I can and should be covered by my insurgence. But I am wondering if someone might know how to answer these questions.

What all did you have to do for Pre-Op?

How long did it take to get through Pro-Op to have your doctor send for approval?

How long did it take to be approved/denied?

How long did you have to wait to book your surgery?

I know these are a wide range of questions. I am trying to see if there is a time frame that I could hit. I want to see if there is a way for this to be a faster road to get through or not. I have had people say it would take a year to go through all the Pre-Op things. I just want to know how others have fared with this.

Thank you all.

Edited July 26, 2017 by FerretJAcK

[snoozy65 0]

A lot of these questions are contingent on the program thru the hospital. As long as the surgery is medically necessary and you go thru their pre op program and released for surgery by their people you should be good. I know Blue Cross in general requires a 6 month supervised diet (I have blue cross). This means monthly visits to the surgeon, nurse practitioner, dietitian at the facility. Once thru their program, they will put in for the authorization for surgery. As long as you follow the guidlines you should be good.

[Crystalmarie 0]

I have the same insurance and with me my consultation didn't count as a visit like most insurances so I had to go a total of 7 time instead of 6 (which is once a month) I met with a dr (not surgeon) nutritionist, and exercise person each visit. And had to keep records of what I ate to send to insurance. They then send request to insurance after the 7 months then met with surgeon 2 visits (the last one being about a week and half before surgery. So for me and the insurance and the facility I went to it was like a 10 month process.