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PearlyQ

Pre Op
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Posts posted by PearlyQ


  1. He was my surgeon too, but I'm switching to Dr. Lancaster now. He made a mistake and he's still a good person...I just wouldn't be comfortable having him do my surgery.

    Hi jukerr. I am having the sleeve done by Dr Lancaster in about a month. How are things going for you?

    He was my surgeon too, but I'm switching to Dr. Lancaster now. He made a mistake and he's still a good person...I just wouldn't be comfortable having him do my surgery.

    Hi jukerr. I am having the sleeve done by Dr Lancaster in about a month. How are things going for you?


  2. My surgeon's office called Anthem again, and spoke with someone in the department that does the surgery approvals. They confirmed that the policy change will apply to me, and that I will have to go through 6 months of medically supervised dieting. Ugh!! Very disappointed as I was looking forward to having surgery in March or April.


  3. I was glad to find this thread. I've been wondering about this too. My doctor's office called Anthem the first part of January and they were told there is no requirement for a 6-month regimen. I called a few days ago and was told the same thing. Afterwards I stumbled across this policy revision on the Internet, and now I'm worried I will have to wait 6 more months for surgery. I have asked my surgeon's office to contact Anthem again about this. Will post again once I hear something back.


  4. Excited and nervous! Just received the call from BCBS Anthem advising that VSG surgery was APPROVED! It was submitted on 1/21/15 and approved today 1/26/15 3 DAYS!!!! The contacted me by phone to advise that the surgery was approved and informed me that I will be receiving an approval letter in the mail with the next 5-7 business days. The also advised that the approval letter was faxed over to my doctor's office. I was provided a approval reference number as well if I needed to callback before receiving the letter. I was informed that they also provide Bariatic Case Mgmt thru my plan at no cost and a Nurse Case Manager will be contacting me in the next few days to assist me with the process. Now the downside..... I have to pay a $1500.00 deductible, $300.00 coinsurance and 30% of total charges with a out of pocket max of $5000.00 which means I will not pay over 5000.00 for all services. Now I have to meet with the surgeon to schedule a date.

    Slimmingup38, congratulations on the quick approval. Did you have to complete 6 months of diet/nutrition supervision before BCBS Anthem would approve you?

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