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Lap Band Approval Pending..

Just wondering how long it took y'all to get approval from your insurance and is there anything I can do to speed the process up? I'm so readyyyy now!

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My information was sent to both of my insurance companies on 11/4/2011. I called every day to both of them and yesterday I was told approved by BCBS but had to wait till this morning for them to really mean the approval. Then I called UHC, today and asked if it made a difference that they were my secondary and the ysaid yes, why did we get all of this paperwork ? I said I am unsure what you are saying, she said because UHC is secondary, I didn't need to send all 22 pages of information, when it comes to secondary you just submit it to be paid. UHC said if BCBS said yes ,then we say yes. I am still uneasy about them just giving me an approval over the phone. And I don't get a copy of the approvals! Just the Dr. Both places said they faxed it over already and my dr's office is saying no they don't have it and no date can be set till they get it. I call BCBS back and now the so called nice nurse is not so nice anymore, she said I faxed it and if the dr's office is saying no, then they have to call not you! I was like hey, this is my policy and my life, why don't I get a copy of this approval letter? She said have dr office to call and hung up. Drives me crazy !! So best advice call them daily and ask for a reference number. Good luck!

  • Author

My information was sent to both of my insurance companies on 11/4/2011. I called every day to both of them and yesterday I was told approved by BCBS but had to wait till this morning for them to really mean the approval. Then I called UHC, today and asked if it made a difference that they were my secondary and the ysaid yes, why did we get all of this paperwork ? I said I am unsure what you are saying, she said because UHC is secondary, I didn't need to send all 22 pages of information, when it comes to secondary you just submit it to be paid. UHC said if BCBS said yes ,then we say yes. I am still uneasy about them just giving me an approval over the phone. And I don't get a copy of the approvals! Just the Dr. Both places said they faxed it over already and my dr's office is saying no they don't have it and no date can be set till they get it. I call BCBS back and now the so called nice nurse is not so nice anymore, she said I faxed it and if the dr's office is saying no, then they have to call not you! I was like hey, this is my policy and my life, why don't I get a copy of this approval letter? She said have dr office to call and hung up. Drives me crazy !! So best advice call them daily and ask for a reference number. Good luck!

Goodness, how annoying. I'm nervous because I have blue cross primary and secondary but I know only my secondary policy covers lap-band. I'm worried about if they see my primary deny they are automatically going to deny also and will have to appeal.

I think its odd that you do not get a copy of the approval letter. I have Aetna and they faxed the approval to my surgen and then mailed me a copy. I am keeping that just in case they come back later and try to say they never approved it

I have been waiting for Aetna to make a decision on my surgery for 2 weeks today. I have also been calling every day. There isn't anything I know of that you can do to speed up the process. I'm a little nervous.. not sure why it's taking them so long.

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I called my insurance and neither of them have anything on file yet. Makes me really aggravated! Been trying to call dr office to see what's going on but can't get anyone and no one has bothered calling me back yet. :(

  • 2 weeks later...

i called my insurance company everyday..they got sick of me by the second day and approved me lol

Cigna took a whole 33 days to deny me. They said that my 6 month supervised diet was insufficient documentation and that it needed to have been within the last 24 months. The policy however clearly states that if I have documented obesity for five years I can use records older than 24 months but still within the five years. We've resubmitted with more recent paperwork but my concern now is that it's not all from the same provider. I'm sick to my stomach over this. I can't understand why it took them so long to deny SMH. I hope you guys have better success with getting approved.

I am waiting on an approval from BCBSI. I feel confident that I meet their criteria but If they deny me, I will be devastated and just CRUSHED.

My doctor submitted my paperwork (i have BCBS) on 11/09/2011 and i called today to check on the approval and they told me it was approved on 11/18/2011 --- wahoo!!

I have BCBS Federal as primary. I didn't even know that it had been submitted until I received a copy of the request for more information. I called the next day to see if they had received the information requested and they said that I was approved. I worried a lot for mothing. My surgery is scheduled for 12/2. I start my protein shakes on Friday. Had my preop yesterday and it is a go subject to the approval of my PCP. I has a recent infection. But I do not think she will turn me down. She is the one who recommended it. Tomorrow my relationship with food ad I know it ends. I am ready to continue on my journey to good health

Good luck to all of you,

Nelinda

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