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Aproved!

By cbd

· 565 views

OMG!! I received approval from my insurance today!! I am sooo happy. I was in such a slump...this has been such a roller coaster so far. After being denied by BCBS of IL a few weeks ago (said I needed more documentation for my two co morbidities) I went back to my primary MD, had more labs done and resubmitted. I called the insurance yesterday and was told it was denied again because there wasn't anything new submitted. I very nicely started to ask questions about the new info we had sent...hight cholesteral, started on new med, etc. She had not seen that and started to look thru my submission again. She agreed to send an email to the doctor that decides. Today I received a call from her and the new information was enough to get it approved for the vertical sleeve. I am so happy. This just goes to prove what everyone else has said...keep trying. Surgery date won't be till around 1/13.

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    7 Comments

    Recommended Comments

    Junior Guru

    slimagainsoon

    Gastric Sleeve Patients

    The sky is the limit!!!! Congrats! I am so happy for you. If you get it done this year, you want have to meet another deductible. Please check on that so you want have surprise expenses.I have NC BCBS. They told me if I wait until next year, I may be paying it myself cause I already meet deductible for this year. I am praying I hear APProved by fri so I can hopefully get surgery date 11-26 or sometimes in Dec! I called yesterday, they say it is pending!!

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    • 2
    Bariatric Guru

    cbd

    LAP-BAND Patients

    Good luck.....I guess my surgeon is booked till January so I have to wait. I've got my fingers crossed for you..hope you hear positive news soon.

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    • 2
    Bariatric Master

    TwinsMama

    Gastric Sleeve Patients

    Congrats!!

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    • 1
    Novice

    TNP195

    Gastric Sleeve Patients

    I have BCBSIL also if you don't mine me asking was your BMI 35 or 40 being that they wanted more documentation for co morbidities because my BMI is 42 with no co morbidities

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    • Bariatric Guru

    cbd

    LAP-BAND Patients

    My BMI is 37. If it is 40 or greater you do not need any co morbidities. When I was talking to BCBS after my first denial she made the comment "you know, if you were just 3 points higher we wouldn't need anymore information". You shouldn't have any problems. Good luck!

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    • Bariatric Guru

    cbd

    LAP-BAND Patients

    • Looks like my surgeon is booked till January also. Hoping to get a date soon.

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    • Bariatric Guru

    cbd

    LAP-BAND Patients

    Got a call yesterday with my surgery date! I get sleeved January 10th. Are there anyother sleevers out there with the same date? Yeah!!

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