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Blue Care Network troubles!!

AshMarie794

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AshMarie794    164

AshMarie794
Posted

Has anyone else had any problems with BCN?

Between BCN and my family doc this whole process is way more stressful than it should be......LOOSING MY MIND!

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AshMarie794    164

AshMarie794
Posted

What kind of problems, may I ask?



So I did my 6 month through my family doc. Well she had it under supervised diet. Didn’t work it as weight management. So they initially denied it. Then my surgeon did a peer to peer and had her hand write them out on the sheet for the insurance. Which she did. But the first time she didn’t sign them. Then by time they got them back to her and she sent them back there was one missing. Now they finally have them and the insurance is either dragging their feet or just denied it again. I really don’t have a clue. So between them being super picky down to the verbiage and my doc office this is getting super stressful. And I’m supposed have everything lined up for surgery on Wednesday. Feels impossible. I just want answers


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mamaddot    7

mamaddot
Posted

Did you call the insurance and ask them directly. What it is exactly they want ? I would then you can compare with nurse what is missing

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AshMarie794    164

AshMarie794
Posted

I have not done that but looks like that is my next step


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mamaddot    7

mamaddot
Posted

Take a deep breath and remember we are all jumping through hoops to be healthy. I am going through Louisiana Medicaid and United Healthcare 🙄

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Sosewsue61    3,185

Sosewsue61
Posted

Don't wait, just call them directly. Good luck.

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mamaddot    7

mamaddot
Posted (edited)

There is only one doc in Louisiana accepting Medicaid right now for wls , how special is that

Edited by mamaddot
Not complete

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Sosewsue61    3,185

Sosewsue61
Posted

@mamaddot that is likely due to the state of LA not reimbursing physicians at a decent rate and delaying reimbursements, and physicians getting tired of the jerking.

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AshMarie794    164

AshMarie794
Posted

I have not done that but looks like that is my next step


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AshMarie794    164

AshMarie794
Posted

I called my surgeon few minutes ago. She said he called just after lunch. Still no update and she was calling right now. So back to waiting for a call


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newmebithebypass    713

newmebithebypass
Posted

oh hon im sorry for all the trouble insurance can really cause headaches i know i worked in the medical field but just breath and think positive

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AshMarie794    164

AshMarie794
Posted

Figured I would come on and update everyone. The insurance denied my surgery with my doctors written out 6 month sheets. So I have to redo my 6 month then can try again. My 6 months will be up Aug 8th of this year so I should be able to get it approved then. I will be doing all my visits with my surgeon this time.

IF by chance you want to follow my journey I have been documenting it through youtube. My channel name is Fat 2 Fab.

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newmebithebypass    713

newmebithebypass
Posted

Wow hon sorry to hear im going thru my surgeon as well ill also be done in august

Sent from my LGLS676 using BariatricPal mobile app

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