Curiosity killed the cat.....

[Mandie 0]

CHAMPVA.. Didn't need approval or authorization, but surgeon still sent a authorization paper in and got paperwork back the next morning.

[Tory09 1]

Thats great Mandie!!! I called my insurance and they still didnt get the paperwork after 12 days. They gave me a number for the drs office to fax it to or just call it in, but the insurance person was leaving for a few days and wont be back till next week. I am frustrated but trying to hold on and stay positive... Good luck to everyone!

[justmel1957 1]

FEDERAL BCBS

Had surgery in Kentucky so Kentucky BCBS was the approving state even though I live in Illinois.

20 days from submission to approve.

[Tory09 1]

That is great!!! You look great! How much have you lost? I am just ready to start my journey that so many have already taken...

[Mandie 0]

Thats great Mandie!!! I called my insurance and they still didnt get the paperwork after 12 days. They gave me a number for the drs office to fax it to or just call it in, but the insurance person was leaving for a few days and wont be back till next week. I am frustrated but trying to hold on and stay positive... Good luck to everyone!

I thought for sure I would be put through a loop, but thankfully I wasn't. I was surprised when I got the notice.

[Northern Mist 2]

What did you do exactly? I just received my third denial and they keep telling my doctor and I the three month supervised diet notes are not detailed enough and they don't show progress ie: adjust diet - adjust exercise - lose weight over the three month period. We think we're doing great and then they burst my balloon again. Any hints or tips? I'm tired :tongue2: Thanks - Misty

[Tory09 1]

That is horrible you have been denied twice.

My drs office finally sent the paperwork to the right place this time. They got the paperwork yesterday. I am just praying for an approval and for them to approve me for an inpatient procedure. My surgeons office has been fighting with ALL of the insurance companies because they only want people do have the surgery on an outpatient basis. This one lady told me this is why she was denied twice. But the third time was a charm!

Good luck to you!!!

[ParrotheadCathy 0]

Heck, I'd have been POed if I'd had to have in-patient. There was absolutely no reason for that at all. I was home by 2:30. Took a walk (about a 1/2 mile) a couple of hours later. Never took a pain med, nothing.

[Tory09 1]

Cathy, I agree with you but my surgeons office and the hospital policy for that matter wont let you do it in an outpatient setting... I would rather go home after the procedure is done... I just am praying for an approval :thumbdown:

[TwilightLover83 0]

I was denied my first try- stating I needed to have a 6mo supervised diet (even though I had been doing Jenny Craig for a whole year! & I had even called my insurance company and asked what they required, they said nothing about the 6mo supervised diet). Did my diet process- resubmitted, took alittle under a week to get my approval. I started my original process in April 2008, and was finally banded March 30, 2009. My surgeon required you to do alot of standard stuff to get to the surgery date. :thumbdown:

PPO w/ BCBS in IL

[kwright 0]

Blue Shield of California - HMO

2 Days from submission to approval

[Tory09 1]

It only took 3 days to get approved once the drs office sent the paperwork to the right fax. I just found out I got approved but its for outpatient. I dont mind but the hospital doesnt want any outpatients but the surgeons office is fine with it. Please keep your fingers crossed for me that I get a surgery date soon since the 2 places are in disagreement... Prayers please :scared2: