EnchantedRuby 0 Posted January 7, 2008 Curious... My coordinator just called and said she submitted all my information to my insurance company (aenta)... I'm curious to know how long some of you waited for your approval.. but most of all ... how did you deal with the wait???????? I'm so excited and nervous all wrapped up in one!!! I can't wait to get approved.. but at the same time it's like ... "what if I don't??" GOING NUTS HERE!!:help: Share this post Link to post Share on other sites
kaninag 35 Posted January 10, 2008 I am still waiting...we initially sent in all my info to BCBS about 1 1/2 weeks before Christmas....I called just about everyday.....my insurance changed over Jan 1---I didnt get an approval in time so on Jan 4 we resubmitted everything....Empire Blue is who I have now and they had everything in the system by tues this week 1/8...still no word....but hey that was just 2 days ago.... as far as dealing at first it was on my mind CONSTANTLY I was driving everyone around me crazy but eventually I settled down.....Its still on my mind but I cant run myself crazy constantly wondering about this you know??!! Share this post Link to post Share on other sites
4jin 0 Posted January 10, 2008 I have BC/BS. My info was sent on 12/17/07. I began calling them on 12/19/07 just to make sure they received the faxed documents. Yes they did, I was told to call back 12/27 I waited and called back on 12/28/07. I was told that person handling was out for the holidays to try calling back on 1/2/08. I again waited patiently and called on 1/3/08. On 1/3/08 was told it was pending still for review. I said what does that mean....being reviewed..partially reviewed...what? she said it has not completed reviewed yet to call early next week like on 1/7/08. So I got mad..but mainted calm and nice on the phone....on 1/7/08...various just plain dumb reps gave different answers-not in system, what doctor, when was it submitted-got transfd over and over and then always ended up on a machine to leave a voice mail. Left like 4 voicemails. On 1/8/08 I began calling early was feeling like crying at that point and then like taking the phone and throwing it against the glass window...but I regained composure.... I called and called until I finally got a competent rep who actually listened to what I had to say. I got persistent because I received the fear like I was going to get a denial because the last three reps during the conversation asked for my mailing address to "verify" it....whatever...I finally got transferred to the live person handling my case....I even thanked her@!!! She said my hold up was my psychologist did not include his License number in his eval...what the f****!!!!! She said she would handle it for me to call her back this Friday and gave me her extention number. I called the psych got the license number...typed up a letter put the number on it and faxed it to the rep. Now I am a walking zombie waiting for Friday afternoon so I can give her a call and hear the decision.... My point....please be persistent with the insurance company...so what if they start to see you as a pain in the buttocks... you have every right to be!! but I was always really nice everytime I called--just aggressive I call it passive aggressive...hehe...LOL Share this post Link to post Share on other sites
SuzanneG 1 Posted January 10, 2008 I started in August 07, got denied within a month, I think. I spent the following few months gathering letters of support from all my docs. Then I wrote 2 letters to BCBS, talked about health in one, then talked about emotional aspect in another as an enclosure to the first. Had surgeon send the entire package, along with his own letter of support to BCBS. I was approved within 2 weeks of the appeal being filed. Anyone need sample letters, PM me and I'll be happy to share! Share this post Link to post Share on other sites
MELISSAV2943 0 Posted January 10, 2008 The paperwork was sent in on 11/19/07 and I got the approval letter in the mail on 12/6/07. My surgery has NOT been scheduled yet ... I only have 1 more thing to do before I can be scheduled ... an EGD scope scheduled for tomorrow @ 7AM My doctor likes to do one 2 wks prior to the actual surgery so I figure I will have the surgey real soon......maybe I will find out tomorrow Share this post Link to post Share on other sites
monroebotxxx 0 Posted January 11, 2008 I started in August 07, got denied within a month, I think. I spent the following few months gathering letters of support from all my docs. Then I wrote 2 letters to BCBS, talked about health in one, then talked about emotional aspect in another as an enclosure to the first. Had surgeon send the entire package, along with his own letter of support to BCBS. I was approved within 2 weeks of the appeal being filed. Anyone need sample letters, PM me and I'll be happy to share! I'm just diving into the process and I'm really worried that I won't be accepted. Although I'm 90lbs overweight and some don't even see how I look to be a problem because I'm so tall, this means more to me than anything. Is there a way I'd be able to see a sample letter? Share this post Link to post Share on other sites
destiny79 0 Posted January 11, 2008 I had UHC CHOICE PLUS TEXAS and was approved in 7 days Share this post Link to post Share on other sites
EnchantedRuby 0 Posted January 11, 2008 OK .. I called the insurance company this morning.. they said they have received all my paper work and it's in the process of being assigned to a nurse for review.. My responce to the insurance rep. "ok thank you so much for all your help.. I'll call tomorrow for the approval".. Hey I figured be positive and I might get what I want.. So I'll call and let you all know.. hehe! Share this post Link to post Share on other sites
destiny79 0 Posted January 11, 2008 :eek:looks like you are only a few days from approval . Congrats !! positive vibes Share this post Link to post Share on other sites
ashabama 1 Posted January 11, 2008 I was approved online in 10 mintues. I have BCBS of Alabama Share this post Link to post Share on other sites
4jin 0 Posted January 11, 2008 I wish I had that kind of approval and I am just a hip jump skip away in GA with BC/BS Share this post Link to post Share on other sites
FIRECRACKER32 0 Posted January 11, 2008 I wanted to reply with- I was approved in 3 days. I actually provided the information myself to the Insurance Company (UHC) and called the care coordinator to orchestrate my own approval- the doctors office was useless. I have UHC PPO Choice Plus Share this post Link to post Share on other sites
EnchantedRuby 0 Posted January 16, 2008 Well nothing much has changed... I've called the insurance company every day this week and all they have said is that it shows the claim is still under review. oh well.. I'll just keep calling everyday till a get the approval. I'm not waiting for the doctor's office to call me with it. I did receive a letter in the mail from the Dr's office. It was a copy of the letter sent to the insurance company along with the letter from my PCP stating the reasons why I'm a good candidate for this procedure. Honestly it was pretty good.. I work with medical billing I come across letters like this a lot. I'm hoping the insurance company thinks it's good too!.. Oh well I sit and wait a little longer.. still continuing to call everyday... Share this post Link to post Share on other sites
Danikagold 0 Posted January 16, 2008 My Aetna denial took about 14 days. My BCBS of MA took less than a week. This insurance company is great, they really have it together. Share this post Link to post Share on other sites
kaninag 35 Posted January 16, 2008 Well nothing much has changed... I've called the insurance company every day this week and all they have said is that it shows the claim is still under review. oh well.. I'll just keep calling everyday till a get the approval. I'm not waiting for the doctor's office to call me with it. I did receive a letter in the mail from the Dr's office. It was a copy of the letter sent to the insurance company along with the letter from my PCP stating the reasons why I'm a good candidate for this procedure. Honestly it was pretty good.. I work with medical billing I come across letters like this a lot. I'm hoping the insurance company thinks it's good too!.. Oh well I sit and wait a little longer.. still continuing to call everyday... I would make sure nothing is missing....they wont tell you when you call but I called everyday and they would say pending...finally I got a letter saying that they were missing some of my info. GREAT I said WHY DONT THEY TELL YOU THAT WHEN YOU CALL!!!! Share this post Link to post Share on other sites