FatGhoul

I just need to vent. Insurance approved my surgery but I have BCBSTX, so there's a separate approval for surgery and for the actual inpatient hospital stay. They have been saying the inpatient approval is pending for over a week now. My surgeons office is hounding them too. Why approve the surgery so quickly but then waffle on the hospital stay needed for it? Argh! I just wanna get my official surgery date already.

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Well I just confirmation my request for Duodenal Switch was denied because my BMI is not 50. I’m at 47.3 so I would need to gain like 16 lbs before they would approve me. It’s ridiculous and I’m not gaining 16lbs. So I am going with my backup plan of the Gastric Bypass.

I think I am about to call too. It's been a week now and I haven't heard a peep. It's not even showing on the prior authorization tab on my account.

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I see the pre-authorization on the BCBSTX app but it won’t show me the status. I guess I will call Monday. I’m just anxious to know the verdict. Fingers crossed we both know soon.

I have BCBSTX, too, and was just told my authorization was submitted today. They said insurance is allowed to take up to 15 days from today to approve or deny. I have heard of some people getting an approval in as little as 4 days but I'm trying not to get my hopes up.

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Congrats I will have my surgery Feb 6 and the process was really fast

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I am in the same boat as you. I have Blue Cross/Blue Shield of Illinois and surprisingly I don't have that many things to do. I just had an Upper GI x-ray on friday. and tomorrow I go to my nutrition class and then I just have a psych eval. then it will get submitted for approval from insurance. My insurance does not require doctor supervised weight loss which I am actually soooo grateful for! Good luck to you!!!!

Yes mine went really smooth. No issues. I had my 1st consult on January 4,2018 and had surgery on March 23,2018. I am at goal went now which took me only 9months. Down 125lbs.

I had my consultation with the surgeon today and got the ball rolling. I have Blue Cross Blue Shield of Texas and really hope I get approved with few issues.

I'm surprised how little I have to do to qualify: lab work (done today), an online seminar, one nutrition class, one psychological evaluation, and an endoscopy. I went ahead and scheduled all of it so I should be done in a couple weeks, then the surgeon's office will submit to insurance. They said BCBS usually takes about 2 weeks to approve after you submit everything.

Sounds too good to be true so I'm cautiously optimistic. I've been thinking about doing this for a long time and now I want to get it done as quickly as possible.

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