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Showing results for 'Fed BC/BS'.
Found 17,501 results
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Anynoe Have Bcbs Federal?
mandyg replied to Sunshyne068's topic in PRE-Operation Weight Loss Surgery Q&A
i have BCBS fed 2! i had a 3 mnth pre approval process. i had to see the surgeon and a nutritionist montlhy x 3 mnths, had to see a psychtriatrist once. i had to get recommendation letter from my primary care doctor. this has kept me very busy over the last few months. after getting all this done, it took BCBS about 4 weeks to approve my surgery (some of that time was due to holidays im sure). then i had to get a stress test and pulmonary function test and chest xray per the surgeon to be cleared for surgery. just look at it as hoops to jump through but it will be worth it. some insurances require 6 mnth pre-approval so i was just glad to only have 3mnths! good luck! -
Excellent advice! wish I had followed through with this in my case. Thru a comedy of errors in the surgeon's office staff I am still dealing with this & my denial since Jul 2014. I dare say my surgeon's office dropped the ball, and it has cost me a lot of time. Oye!I wish I had been more proactive by going directly to the office & dealing with this head on. My insurance is BCBS Fed emp (Anthem)
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Hello All! I signed up for the mandatory, yet free class through Southern Surgical in Greenville, NC to go through the process to get the VSG. What I am wondering is if anyone has been in my situation BMI and insurance wise, and if you can tell me what to expect of this process? I have a few comorbidities, but it wasn't enough to be prescribed medication for it (minus BC for severely missing periods). I have PCOS, pre-diabetic with an A1C of 5.7 in January. There is a family history on my mother's side of strokes and heart failure. Thank you for your time!
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FYI - Possible Hitch - United Healthcare / MDIPA Federal Plan
soniaJ replied to BeagleLover's topic in Insurance & Financing
I have UHC MDIPA FED and I am praying my approval letter will not be an issue. I'm a nervous wreck over it. The paperwork won't be submitted until July 21st ugh! And my surgery is scheduled for August 20th. God willing all will go as planned. -
Blue Cross Blue Shield Federal - Basic and Standard (Texas)
happy55 replied to band2RNY's topic in Insurance & Financing
I was told the same thing/ and or gain at least 250 lbs. I said that ain't gonna happen if I could help it. I also have Fed, BC/BS standard. I have not really been satisfied with the band. Either to tight or not not tight enough. Have never been at the so called "sweet spot". Have been banded since 2008. -
Hi started this journey in Dec.wo different protonic 2015. Went through 1 appeal that was presented from my surgeons office. I called Horizon twice this week and they told me I need to send more information I'm 5'4 and 205 my BMI is 39.5. I have high blood pressure, veinous insufficency, been going to pain management for 1 1/2 years for 2 herniated disks and a tear above another and I'm on two different protonics for gastritis. I never mentioned the gastritis condition before, do you think it might put me over the top with the second appeal? Would appreciate any input. I don't want to throw in the towel.
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i just called my ins company to check on my claim status i was told that my nurse closed my case bc she hadnt heard from me after i called and left numerous voice messages...i am pissed. The case has been reopened and assigned to someone us so im waiting even longer but all my paper work has been received by then....geez!!
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how long for bsbc federal to send approval?
SleeveandRNYchica replied to sheree212's topic in Insurance & Financing
I know it is frustrating! All the appts and waiting BCBs Fed seems to be reasonable in their decisions. Haven't heard of denials. Hang in there and good luck! -
My bc of Alabama just had to have three years previous weights and current health issues like hypertension, diabetes etc.
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Primary and secondary insurance question
Cami1908 replied to Cami1908's topic in Insurance & Financing
Well I have heard back from Chesapeake General. Sooooo glad I did not settle for the insane information the other center was giving me. Chesapeake General says its a go to start the process. I told her what the staff at Riverside Weight Loss told me and she even told me that it was not true (that secondary insurance wouldn't pay if the primary insurance didn't cover it). She even went as far as to tell me exactly how the paperwork is submitted. She also said "Wow. Well that's good bc that means we will get more people." I agreed. Because AS SOON AS I have my procedure I am calling them and making sure I personally let the doctor know that his staff is turning away people (and doing so with nasty attitudes) bc they don't know how to work the insurance aspect of things!!! He needs to know who he has on his support staff don't u think!!! Thank u two for ur responses. It really kept me motivated to seek services else where. And I won't even get into how much more informative and helpful Chesapeake Regional has been in 3 or 4 days than riverside was in over a month's worth of back and forth phone calls!! -
Has anyone run into difficulty being approved by Anthem of Virginia? I started my year on February 1, 2012 and joined WW online. I'm talking regularly to the Cova Care Coach, and had my appontments with the nutritionist and counselor. I have my proof that I joined WW. If I don't lose weight on WW will they deny me or if I do? I had no co-morbidities when I started but have since gone on blood pressure medicine. Any information will be appreciated.
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Finally got weight watchers to cooperate!
greensleeve replied to greensleeve's topic in Insurance & Financing
I couldn't get into my bank records because it's been a year and a half! I threw my book away bc I didn't know I was going to want WLS. Keeping my fingers crossed! -
I too am an insulin depended type 2 diabetic. I take Lantus 100 units at night and 3 shots of Apedra ranging from 5-22 units per meal. I also take a pill called onglyza. I really would love to see me skinny (bc I can not remember ever a time that skinny was me) but my major goal is to lose all this medication! Best of luck to you on your journey!
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GP derailed me today!
singledad167 replied to singledad167's topic in PRE-Operation Weight Loss Surgery Q&A
BC/BS Michigan. Not a HMO, or anything, only 10% copay, and only 1000 out of pocket per year -
Insurance denied - Cigna
KatFight replied to Febmeltdown's topic in PRE-Operation Weight Loss Surgery Q&A
Maybe I'm not understanding fully. If your official first visit was 12/19/18 then you need 90 (3 months) consecutive days. The days will not add up to 90 by 2/12/18 unfortunately. Even if you had 3 visits one in Dec, Jan, Feb, you do not have 90 days yet so that's an easy explanation as to why insurance cannot approve your surgery at this time. And that really stinks. It's understandable that your deeply disappointed bc they gave you date of 2/12 and now you hear otherwise. I have BC/BS and had 3 months visits as well. Because of a problem with one of the doctors' offices, my 3 months turned to 4. Then I was approved and had a date by the 5th month. I think it's probably rare that a surgery is done to the day of the 3-month mark bc you have to have 90 days first and all clearances then paperwork is submitted and there's a wait for approval. Hang in there. You'll get through this. -
Does Insurance Cover Fills After Self Pay?
Winteranne replied to change4life10's topic in Insurance & Financing
I too was considering self pay, but was told by my insurance company (federal bc/bs of Florida) that they would not cover any fills if I went self pay. I ended up getting approved by insurance for my surgery and was told my copay for fills will be $50 vs. $150 if I had gone self pay. The insurance process has taken a little over 4 months, but definitely worth it for the money I have and will be saving. I know every situation is different, but I hope this helped a little. Good Luck on Your Journey -
Anyone Successfully Tap Into Ira To Pay For Surgery?
Erin6573 replied to SkinnyAnnie's topic in Insurance & Financing
I tapped into my 401k for the surgery. Had them take the taxes out when I withdrew the money. I know that the money is for my retirement, but at the rate I was going, I wasn't going to make it to retirement. Yes, the taxes and penalties are crazy. I had them hold 20% for the feds and then they took whatever the state of Michigan was getting as well. Good luck to you. -
Bcbs insurance anyone?
jaejae79 replied to Curiousme's topic in PRE-Operation Weight Loss Surgery Q&A
I have anthem bc/bs of VA. I had to visit with my pcp for monthly weight consults/recordings for 6 consecutive months and her approval for surgery, psych eval, nutritionist visit, and cardiac clearance. After completing everything, my surgeons office sent in for approval which took about 2 weeks for anthem to notify me by mail that I was approved. Super excited because it's been a longggg journey. -
Insurance process - how many approvals do you need?
OregonBarbie replied to OregonBarbie's topic in Insurance & Financing
Yep! and I called this morning. OHP kaiser referral says I have medical approval for 6 months.. OHSU didn't have the referral yet but I was told this morning that it is a 2 year waiting list for state insurance.. basically she said they don't have enough room to serve THEIR patients and everyone else, so non members (state)are put on a long waiting list.. THIS IS BS.. I will be on the phone all day .. Isn't that discrimination? I have a pre cancerous condition and the longer I wait the more serious it is.. so the OHSU rep basically said to me this morning that.. if someone on their insurance doesn't have any co-morbidity they will get in before me... because they get priority... -
It was awful. I can't sleep. I may have to come back and do it all over again bc I couldn't stay asleep. Now I have to go home and deal with 2 babies after a night of maybe, 2 hours total of sleep.
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Viactiv has Calcium carbornate. i am looking for calcium citrate. Bummer bcs yeah, the Viactivs are yummy! Thanks!
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Prior to surgery I was waking with fasting glucose levels of over 200...often over 300. I started insulin 1 month prior to surgery which brought my fasting glucose down to 100-130 depending on the day. For surgery and for 24 hours after they had me on a Dextrose drip. My BS was 200 the morning after surgery they weaned down the dextrose. Day 2 after surgery my BS was in the 150's. I was advised to NOT take my insulin or Metformin unless my blood sugar remained over 150. I am 3 months out from surgery. My Fasting blood sugar this morning was 67.
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No Wt Loss In 9 Days...... Only Little Over 4 Weeks Out?
lil4heartz posted a topic in POST-Operation Weight Loss Surgery Q&A
I'm just wondering if this is normal? Any suggestions on how I can get back to losing a lb or 2 a day lol! I was doing great up to 9 days ago and now I'm in a stand still, haven't loss anything and I'm only a little over 4 weeks post op. I thought you didn't hit plateaus til couple months out. I think its bc my scale knows I want to get into the 2's, -
does anyone know if this insurance will cover my gastric sleeve? please help!
jaidajacoby2 replied to cruzsteff7's topic in Insurance & Financing
Yes, I just had surgery done Monday. I am 5’6 and my HW=236 SW=226.1 with BS and High BP and insurance covered! -
Thank you! I will have to wait until Tuesday bc Monday is a holiday . I'm miserable
