I would be considered a newbie here, but I'd like to give some hope to others that have BCBS of California....
Im 26, 5'4, 232lbs...went to my first seminar on Dec. 3, 2005 after my job notified us that our insurance would be changing as of JAN 1...much to my surprise to a United HC plan that WOULD NOT cover the lap band surgery. So here it was i week into dec. and i had to get things rolling if i wanted any chance at being slim in the new year! At the seminar I was told that BC of Cali was mandated and that they HAD to cover the surgery; all i needed was a psch consult, and 1 visit with the dietician. So I had my psych eval on 12/8 and met with the dietician on 12/12. When I called the surgeon's office, they told me they mailed my letter of medical necessity on 12/7. I was thinking, WHAT??!! I couldnt believe they snail-mailed something so important. But there was still hope....
After hanging up with them, I got on the phone to BC of California pre-cert dept and asked them what their approval process was and if it was possible for the doctor's office to just fax everything over. Answer: YES. The rep gave me the fax # and i called back to the doctor's office and gave them the fax so that they could fax ALL of my papers to BC of California. I also had the doctor's office fax ME the confirmation that they faxed it to the insurance, so I would have something to go on when checking back with the insurance company everyday. So, all of my data was in the BC system on 12/19 and every rep that I spoke to told me that they have 30 days to make a decision. Well here's the key....I told them that I didnt have 30 days, because I was already given a surgery date of 12/29 and that I needed it approved by then. And wouldn't you know, my surgery was approved on 12/21!!!! and yes I just had my surgery on 12/29 and am in the recovery/liquid diet phase, all in the course of 1 month. Hope this is helpful to someone else...