waiting for approval

heather113076 · July 8, 2008

It has been a long time since I posted on this site. I have been so busy doing everything required of me by BCBS plus working plus taking care of my family. All of my paperwork was faxed over to BCBS on 06/23 for review. I am waiting to hear back from them. The insurance co-ordinator at the surgeon's office told me they can take up to 30 days before giving a decision. I really want to call them to see where they are in regards to my request but am hesitant to do so for fear of denial. Logically I know there is no reason for them to deny me-I have met all of their requirements. I did the 6 month diet, I had the sleep study which uncovered that I do have sleep apnea, I used(and am still using) my CPAP machine continuously for 2 weeks averaging 6 hours per night which is required by my ENT BEFORE she will/would give me clearance for surgery and I met with the psychologist. I am well over 100 lbs overweight and my bmi is 55. When I first started this journey my bmi was 63, I have lost 43 lbs while doing the 6 month diet which excites me to no end. I am still going around showing people the waist band of my pants and how it is too big :biggrin:.

Tracyde730 · July 8, 2008

Good Luck Heather...I hope you get yor approval soon! I just spoke to my ins co & they have my paperwork & I'm waiting for my approval. Hopefully we'll both have good news soon!!:biggrin:

nursenky9 · July 13, 2008

Heather:

I have Highmark BCBS. All of my info was faxed on July 3. I have not heard anything. The ins lady at the docs office said they told her it could take from 48hrs up to 6 wks. I read the booklet from BCBS and it said for pre cert they are suppose to give you a response within 15 days of them receiving it. Hopefully we will all be hearing something soon.

dwrd73 · July 13, 2008

I would call the number on the back of your insurance card to make sure your paperwork arrived. Sometimes faxes get lost. My paper was suppose to be submitted last Friday and I plan on calling tomorrow to make sure it was received. I would hate to wait a week or two just to find out the BC/BS never got it and then wait for the doctor's office to send it all again.