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mrshill45

Gastric Sleeve Patients
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Posts posted by mrshill45


  1. I called the insurance company this morning and they verified that it should have been covered. They are going to send the claim back to the adjuster because come to find out they did not pay the hospital claim of $45K either. Hopefully, everything works out or I may have to sell my house. smh :( They did say to give them two weeks to research.


  2. I had my surgery on 7/6/2016 and was told at that time my out of pocket after insurance was $230. That was no problem so I paid it that day. I get a bill yesterday from the doctor for over $14,000!!!! I am completely confused and extremely stressed out because I just don't have $14K sitting around. When I looked at the EOB online it looks like the doctor charged for something that was not covered by my insurance (BCBS Anthem of GA). How would you all suggest I handle this situation? Any advise is greatly appreciated.


  3. Thank you, Recycled. I really needed those words of encouragement. The doctor's office was so great during the six month supervised weight loss phase, I was so sure everything would go without any snafus for the preapproval. Wishful thinking I suppose.


  4. My doctor's office said they sent my paper work to the insurance company for approval on April 28th but when I call the insurance company they still say have not received anything. I am at a loss on what to do. Any feedback or thoughts would be greatly appreciated.


  5. The bariatric team told me I should maintain my starting weight but that is the issue. I am afraid I am not at my starting weight. I am more so within 5-6 lbs of my starting weight. They did tell me that BCBS was not too much worried about the amount of weight you lost especially since I have been diagnosed with a thyroid condition. Of course, I am nervous everything will not be approved. Its been a long time coming and I am getting anxious to have the surgery. :)


  6. Hello, Everyone. I am new to this forum and am in some need of feedback based on your experience. I have BCBS Anthem of GA as my insurance and I have my last supervised weight in on Wednesday. During the last 6 months my weight has fluctuated greatly....a loss of 10 lbs one month to a gain of 13 lbs the next month. This has been ongoing. I have a feeling I am not at my starting weight and I am concerned the insurance will not approve the surgery. Does anyone know if BCBS will approve the surgery if you have completed all the other requirements but have not showed evidence of weight loss during the six month supervised weight loss period?

    Also, if they do approve how long does it take for your surgery to be scheduled?

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