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Anthem BCBS (Cali) Approved *whew*

After all the bad things I heard about Anthem BC BS, I was worried I would not get approved. I was barely at BMI and with no co-mo's, so yeah, my nerves were going crazy. Today I get the notice that my surgery was approved!! YAY! My Dr's office hasn't even called me yet. I got the news right from my insurance. Here is the crazy part: Anthem said the claim was submitted for approval on 3/29 and was approved on 4/01! WOW...That is less than one week for an approval turn around. Amazing. So now I wait for my Dr's office to contact me with my EGD date and pre-surgery consult. If they are on the ball I could be looking at surgery soon.

 

I have said many times that this did not feel real. Well it does now. I can't eat. My tummy hurts - I think it is like how your dog knows he is about to lose his gonads and he is giving you the sad face... well my tummy is giving me the sad face. LOL

 

Anyway, I am looking forward to getting an actual surgery date. Wow! I really doubted if I would ever make it to the losers bench... Thank God for small miracles :D

 

*Note: my insurance is BCBS of Cali but I work in Kentucky. The corporate office is in Cali though.

2 Comments

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Ulysses

LAP-BAND Patients

Hi,

That is the same insurance I have... BCBS PPO Exclusive, Anthem in Cali; even though I'm in Idaho.

Took mine forever to approve - my surgeon's office faxed the package 3x to them before it was assigned to a nurse/case manager.

Did you have a high co-pay? I thought I had the top of the line insurance with low deductibles. But i had to pay (in addition to regular office co-pays) a little over 750.00 to the surgeon before they would give me a date (18 days from now!)...

Best of luck,

~J

Day Dreamer

LAP-BAND Patients

Hi Ulysses,

the whole surgery will not cost more than 2k total for me. That is my max out of pocket. Not bad considering that self pay would be thousands more. I paid a $30 co pay for the surgeon but they have a program fee of $500. All of that counts toward my out of pocket though. One thing I have heard is that most Anesthesiologists are not contracted so you will get a separate bill for them?!?!

I was really shocked how fast the approval was - even the finance coordinator told me Anthem would take the full 30 days to approve.

Congrats on your surgery date hun!!!

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