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Still Waiting on Insurance Approval - 8 Days Later



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BCBS Federal has had my paperwork for eight days and still no response. I just called and they said it is still in review. The suspense is absolutely killing me. They said to give them 30 days!!!!!!!! I just need to vent because I don't have anything else to do. :) From what I have read on other forums, most people with this insurance got approved in less than two days. I am just hoping nothing is wrong. Thanks for listening. I know you all will understand my frustration.

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when I read this I called mine and they said they faxed my doctor request for more info....weight logs, etc. soooooo pissed I wrote a 3 page letter with all of this info. what more do they want? and dr. has not gotten back to me....shitty way to go into the weekend...want answers

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Don't get frustrated. Just yesterday I was in the same situation. My file was originally submitted on 8/5/11 then on 8/12/11 when I called the insurance company they said they needed additional information that I knew was already in my file. The duplicate information I faxed over and the following day my surgeon's office faxed over too. I still had to wait another week before my approval came thru. Next time you call the insurance company ask when your file was taken into review. I found out the files are taken in the order received so just because it was faxed over on a certain day doesn't mean that it was being reviewed on that day. Once you get that date, you should have your answer within 7 business days of that date. I also called everyday at different times of the day too. It is your right as a policy holder to keep yourself informed! I can say stay calm now but yesterday before I called and actually received my approval, I was a wreck wondering why they were taking so long and wondering if that meant they were going to deny me after all my work. Keep a positive attitude :)

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So, it has now been 15 days and STILL WAITING. I just called the insurance company, and they said it usually never takes this long, but they have up to 30 days to reply. I am beyond frustrated. Has anyone else had problems with BCBS Federal- Texas?

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Don't wish for a fast response. My information was submitted on Monday to Aetna and I have already received my answer today. My VSG was DENIED!!! I was under 40 BMI in late 2008-early 2009 when working with a trainer and dieting which was just one of my many successful cycles of dieting, exercise but without successful retention. Just another bump in this journey. Had I known the road would be so rough, I would have spent the extra money on some good touring tires.

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Don't wish for a fast response. My information was submitted on Monday to Aetna and I have already received my answer today. My VSG was DENIED!!! I was under 40 BMI in late 2008-early 2009 when working with a trainer and dieting which was just one of my many successful cycles of dieting, exercise but without successful retention. Just another bump in this journey. Had I known the road would be so rough, I would have spent the extra money on some good touring tires.

Geez! I have Aetna too and I'm so so afraid of that first denial.

So now what? What will you do?

Best of luck with the next step.

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So, it has now been 15 days and STILL WAITING. I just called the insurance company, and they said it usually never takes this long, but they have up to 30 days to reply. I am beyond frustrated. Has anyone else had problems with BCBS Federal- Texas?

Hopefully you get your "yes" real soon!

What happens if they don't give you your answer in 30 days?

Wishing you the best!! :)

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At this point my Dr will do a peer to peer appeal and I'll hope for the best. If my track record of cycling with the same 30-50 lbs every 3 years isn't going to fly, then I guess I die fat or hope for an anonymous donation for a Mexican trip... I will also get a good nights sleep and maybe chat with the insurance bureau on how to be my own advocate in the appeals process. I am not ready to quit yet. No need to worry, I have absolutely no control! :-( It's my party and I'll cry if I want to ....

Geez! I have Aetna too and I'm so so afraid of that first denial.

So now what? What will you do?

Best of luck with the next step.

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At this point my Dr will do a peer to peer appeal and I'll hope for the best. If my track record of cycling with the same 30-50 lbs every 3 years isn't going to fly, then I guess I die fat or hope for an anonymous donation for a Mexican trip... I will also get a good nights sleep and maybe chat with the insurance bureau on how to be my own advocate in the appeals process. I am not ready to quit yet. No need to worry, I have absolutely no control! :-( It's my party and I'll cry if I want to ....

Don't ever give up!!!! If noting works out for me, I will go to Mexicali. I will beg my family for the money. Hahaha. If it's meant to be it will happen. Think positive and positive things will happen.

I'm sure your peer to peer will work out great. Wishing you luck!!!! keep us posted.

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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
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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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      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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