I am just devastated for the 2nd time! The insurance wants MORE information from my 6 month visits. They said the doctor was not descriptive enough. They want diet and exercise progress. I know what I discussed with my doctor in each visit but I can't control what she types in her records. I'm so frustrated now. I've been denied twice over this. I'll appeal but I'm scared this is going to go no where. My biggest fear is that I will have to find a whole new doctor and do another 6 months all over again. I've been on this for 9 months now. I just dont know what to do. ... Maybe curl in a ball in the room and cry?

Advise?

I remember the rep's name was Clay but I threw away his ext #. Sorry I can't be more help. I wasn't saying LOL after my 3rd denial....I was on the warpath! Hope you get good news soon. Jan

Oh, I am on a war path, but I am trying to do it with a smile... next time I call in I'll ask for him

You are right to keep smiling. You won't get anywhere being unfriendly to an insurance rep. I will be praying for you to get approved soon. Take care, Jan

Quick update... I talked to my Dr today & I think she called BCBSIL, have I told you all how much I LOVE my Dr! Then she wrote a letter for me that explains that I was on a 1200 cal/day diet with excercise. It also states that I have daily food journals & exercise logs and I came in every month for a progress check. I was able to loose 10 lbs during that time. I also wrote a letter to send to them from my heart about how this will change my life & my family life; I inculded that my dad has HBP, Diabetes, High Cholesterol & had a stroke at 59, also that my mom has HBP, High Cholesterol etc.

I am really hopeful that between that, the proof that my BMI was over 40 (40.8 to be exact) when I started my MSLWP, and a description of the program my Dr had me on will be enough to get this thing moving!! Can you think of anything else I may need??

Also, why does the info always come in on Friday when they aren't open till Monday?? Patience!!! Thanks for reading this very long & rambling post )

Glenna

Quick update... I talked to my Dr today & I think she called BCBSIL, have I told you all how much I LOVE my Dr! Then she wrote a letter for me that explains that I was on a 1200 cal/day diet with excercise. It also states that I have daily food journals & exercise logs and I came in every month for a progress check. I was able to loose 10 lbs during that time. I also wrote a letter to send to them from my heart about how this will change my life & my family life; I inculded that my dad has HBP, Diabetes, High Cholesterol & had a stroke at 59, also that my mom has HBP, High Cholesterol etc.

I am really hopeful that between that, the proof that my BMI was over 40 (40.8 to be exact) when I started my MSLWP, and a description of the program my Dr had me on will be enough to get this thing moving!! Can you think of anything else I may need??

Also, why does the info always come in on Friday when they aren't open till Monday?? Patience!!! Thanks for reading this very long & rambling post )

Glenna

The explanations sound promising to me. I'll cross my fingers for you & hope you get approved soon. I know you are more than ready to be sleeved. Take care, Jan

I'm waiting on the good news for you hoping all goes well

Well, it finally got sent over today, so I will start calling tomorrow to check on it!! Thank you all for your support... it helps so much during this process!

Glenna

Reading all this helps as I am in my 5 month with this. I also have bcbsil and I pray when the time comes I'll be approved This alone is long enough to do. Any info would help.

Just be proactive in every way with this. I took 4 years before getting OKd last spring for surgery May 31. It is worth it! Doing very well with my sleeve. xchange, congrats on getting your approval, and those waiting I will keep you in my thoughts and prayers that your day will come very soon. Hang tough! Ronda

Glenna, Tomorrow, 10/12, is my day to be sleeved. I only spend one night in the hospital & when I get home Thursday, I hope when I check this blog that you have posted good news. Jan

Thank Jan & I a sure you are recovering nicely from your surgery today! I called the insurance & they said they received my fax, however they haven't reviewed it yet... and that I should call back next Wednesday! Really, you think I am going to wait till Wednesday, I think not! I plan on calling daily LOLOLOLOL!

Hoping for great news soon!

Glenna

Thank Jan & I a sure you are recovering nicely from your surgery today! I called the insurance & they said they received my fax, however they haven't reviewed it yet... and that I should call back next Wednesday! Really, you think I am going to wait till Wednesday, I think not! I plan on calling daily LOLOLOLOL!

Hoping for great news soon!

Glenna

Glenna, I'm home & sleeved. I already have favorite liquids & yogurt:)

Keep calling BCBSIL every day & get a rep that will contact medical review for you. You need to know if they have everything they need. I'll look for your approval soon. Hang in there.

Jan

xchange, I am glad you are home and doing well. Congrats on your sleeve surgery! Ronda

Jan I'm happy to know you are home. Keep us posted. I'm wishing you a speedy recovery

any word on your surgery approval yet?

Jan I'm happy to know you are home. Keep us posted. I'm wishing you a speedy recovery