Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Lap Band Approval Pending..



Recommended Posts

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!

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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. :(

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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!!

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×