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Highmark BC/BS of Pittsburgh



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I have Highmark bc/bs of Pittsburgh, all my information had to be mailed they would not take fax, Dr office says it was mailed on January 8th insurance claims it was not recieved till the 24th of January, has anyone ever dealt with them waiting on approval, must get done before Feb 28th, my job changes to another company and new insurance, then if I dont get done by 28th will have to wait till new insurance kicks in April, have already paid my deductible for 2011 and most of my coinsurance, dont want to start over, I have called 2x they tell me it can take 6 weeks my handbook says they have 15 days to give a approval or denial. anyone ever deal with them... ??????? Really getting discouraged here..:angry:

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I have Highmark BC/BS through the railroad so I'm sure it's not exactly the same, but it took them about 25 days to approve me. They told me they have 30 days to approve or deny, and they were always very helpful when I called and spoke with them. It actually took me longer to get my surgery date then for the insurance to approve, that took a little over a month before I had my surgery. Good luck, I hope it all works out.

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I have Keystone and I got my approval after everything was sent to them in 24 hours. It was the surgery date that took a little longer, because of having to go by the doctors schedule.

Your best bet is to call on Monday. Call the surgon, call the insurance company. The harder you push the faster this will go through. GOOD LUCK!!

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I'm hoping you have your approval already. Mine took less than 48 hours (Highmark PPO Blue). Happy Banding! -BG

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I have highmark PPO blue.. it was quick approval

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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