Approved with BC/BS of New Jersey!!!

Angelica · October 12, 2007

I am so excited, I almost dont believe I was just approved.

I have been calling the insurance company every single day checking on paperwork, and finally, today, the customer service rep said it like it was no big deal, 'yeah, you've been approved'

She has no idea how this is going to change my life :eek::)

:whoo:

jetti · October 12, 2007

YAY!!!!!!! how long did it take to get your approval?? what doctor are you using? Im in NJ and also have BC/BS of NJ and I go for my consult with the surgeon this coming wednesday and I hope to submit my paper work and I dont know how long the wait will be.

Angelica · October 13, 2007

Actually, I sort of went in a round about way.

I had my paperwork submitted, and got returned for 6 months of a diet program, 5 years of documented obesity, and information on my center of excellence and support groups.

So, I decided I would just try a work around, I had several migiating factors.

One, I was perscribed tenuate (which is a diet pill that made me basically nuts, way to hyper, and anxious) which I had to stop taking because of medication interaction. In addition, i had several injuries I had to see the doctor about, including muscle strain, and torn ligaments due to exercise in the last year. Further, I was unable to provide 5 years of documented obesity.

So, I basically wrote a mean little letter, my benefits connect coordinator contacted her person at BCBC of NJ, and the contact asked for my medical records to be resubmitted. I also took it upon myself to fax my letter detailing all of this to this contact. I also inclided that I had been on the phone with the supervisor of their call center who was rude and unprofessional, and called me stupid. (this is true!! okay, maybe I was throwing a fit to get her to help me, or refer me to the next higher up, but she should have known the game we were playing.)

It was submitted on friday of last week. I called every single day this week asking for a result, and I got one yesterday

So excited.

I guess where there is a will, there is always a way.

I have worked in the insurance business for the last 2 years, and the call center business for 6 years before that. So I put together this experience to basically give them hell until they gave in.

Lucky me, its approved, and I can hardly even believe it.

-A