*NEWBIE* Approval Wait

[strength.spirit.grace 21]

Hi All! I'm new here so my bad if I post something incorrectly...My surgeon's office submitted all required paperwork for a vsg to Regence BCBS of Oregon on 8.18 (last Friday) and as of this afternoon my "case is still under review". The Regence rep I spoke to said it can take up to 15 calendar days to reach a decision; which puts me at 9.1 at the latest to hear back. For those with Regence, or any other plan for that matter, how long did you have to wait to get your approval? Like I said, I'm new but I've got lots of stories to tell about the past 7 MONTHS I've spent fulfilling the vsg requirements Thanks & TTYL!

[sassy683 184]

hello... im waiting for approval too I have Cigna and my surgeon's office submitted all my paperwork last Tuesday 8/15/17 .. I have called them everyday since then lol... actually about to called them in a few minutes .. I got that standard letter that they send out after they get the pre-cert request..... right about now I need some good news this has been an emotional past 2 weeks for me....

[strength.spirit.grace 21]

hello... im waiting for approval too I have Cigna and my surgeon's office submitted all my paperwork last Tuesday 8/15/17 .. I have called them everyday since then lol... actually about to called them in a few minutes .. I got that standard letter that they send out after they get the pre-cert request..... right about now I need some good news this has been an emotional past 2 weeks for me....

I hope your approval comes soon! You're just like me, I've called 2x every day. One of these days I'm gonna wind up talking to the same rep but oh well. It makes me feel better to call on my own to check than wait impatiently for a call from the surgeons office!!

[sassy683 184]

I called again today its still in review.... im gonna call back later lol and tomorrow if I don't get an answer today ... the rep said I should hear something because it should of only taken 3-5 days

[strength.spirit.grace 21]

I called again today its still in review.... im gonna call back later lol and tomorrow if I don't get an answer today ... the rep said I should hear something because it should of only taken 3-5 days

Here in WA state the law is for insurance companies to review and notify member of a prior authorization decision in 5 calendar days...but I think each company can change their specific policy depending on what service is requested. It sucks 'cause I feel like the insurance prior auth people are looking for reasons NOT to cover surgery instead of helping us out. Kinda backwards if you ask me but they are in the business of making money, not losing it :-/ Good luck on your next call! LOL

[sassy683 184]

so true but they don't have a problem deducting my payments every 2 weeks from my paycheck...... they have until the end of the week to let me know something lol.. Friday will make 11 calendar days

[strength.spirit.grace 21]

so true but they don't have a problem deducting my payments every 2 weeks from my paycheck...... they have until the end of the week to let me know something lol.. Friday will make 11 calendar days

Keep me posted! I hope you get the approval!

[sassy683 184]

so I was denied they said some of my NUT notes were missing and my mental health notes were missing... ALLLLL BS but my surgeons office resent everything all over again so another 7-10 business days

[ZinNH 173]

13 minutes ago, sassy683 said:

so I was denied they said some of my NUT notes were missing and my mental health notes were missing... ALLLLL BS but my surgeons office resent everything all over again so another 7-10 business days

Ugh.. that sucks! I hope everything gets sent in and approved quickly!

[sassy683 184]

yeah me too

[Véronique 238]

Well, I know that for my insurance provided (as an employee of the State of Colorado), I know I did my dietary clearance on Friday, the 11th and I got notified by my surgeon's office that I was approved on the 18th. According to them, they probably didn't submit it to the insurance company on the 11th as I did my dietary clearance in the afternoon but at most, it took me a week to get the approval from insurance.

[malloriedarling 12]

When you guys called your insurance company to check in what did you ask? It's been a week for me and I'm dying to call I just don't know what to ask them.

[sassy683 184]

that you wanted to check the status for approval for bariatric surgery and let them know when the surgeons office sent over all the required paperwork

[jcdsleeve 4]

I been waiting since 8/15... just called it's still under review. I'm just so nervous. Hope everyone gets approved.

Sent from my SM-N920T using BariatricPal mobile app

[sassy683 184]

GREAT NEWS!!!! I WAS APPROVED ......