strength.spirit.grace

Depends on your insurance. I have Regence BCBS Oregon and their policy is "bmi above 40 at the START of medically supervised blah blah blah"...BUT it's best Togo thru your pre-op process in the minds of insurance claims administrators. Unfortunately, their goal is to make money-not give it away. So their main objective when determining medical necessity is finding ANY REASON to deny you. Sure, they have the policy and you can check every box, but they may or may not deny based on that one weigh in that dips below 40 bmi. This is where you'll want appeal...most insurance companies bank on denials over small details like that hoping you won't appeal but if you do you'll most likely get it. Hope this helps!

YAYAYAYAYAY IM SO EXCITED FOR YOU!

I just told them who I was and asked about the status of an authorization request that was submitted last week. About to call again...the wait is killing me

Hi All! I'm new here so my bad if I post something incorrectly...My surgeon's office submitted all required paperwork for a vsg to Regence BCBS of Oregon on 8.18 (last Friday) and as of this afternoon my "case is still under review". The Regence rep I spoke to said it can take up to 15 calendar days to reach a decision; which puts me at 9.1 at the latest to hear back. For those with Regence, or any other plan for that matter, how long did you have to wait to get your approval? Like I said, I'm new but I've got lots of stories to tell about the past 7 MONTHS I've spent fulfilling the vsg requirements Thanks & TTYL!

YAYAYAYAYAY IM SO EXCITED FOR YOU!

I just told them who I was and asked about the status of an authorization request that was submitted last week. About to call again...the wait is killing me

I been waiting since 8/15... just called it's still under review. I'm just so nervous. Hope everyone gets approved.

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GREAT NEWS!!!! I WAS APPROVED ......

I just called my actual insurance because I was going nuts and she said told me I was APPROVED too!! it's a great day for approvals! Congrats girl!


-Mallorie

Well, I know that for my insurance provided (as an employee of the State of Colorado), I know I did my dietary clearance on Friday, the 11th and I got notified by my surgeon's office that I was approved on the 18th. According to them, they probably didn't submit it to the insurance company on the 11th as I did my dietary clearance in the afternoon but at most, it took me a week to get the approval from insurance.