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Blue Shield Of California Ppo

Hi,

I have a bmi 37 and my doctor just diagnosed me with mild sleep apnea. Does this help my chances of getting approved? I also have one kidney (donor) & had gestational diabetes with my last baby.

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  • Meli1234, Thank you! Thank you! You just gave me the hope I've been looking for I hope BS does the same for me!

  • Hi, I really hope it works for the both of us. Lord knows how much I need it! I called my coordinator and they stated its now an open appeal and they're communicating with my insurance company so, t

  • hey, yes, that sounds very reassuring of an approval I'm sure you can't wait!! I'm hanging in there. It's just so hard because I have doubts. I feel like I'm going to be denied again. wishful th

Featured Replies

  • Author

Aww.. hopefully we still can be! If not I hope at least you do :) I'm sure you'll be fine.. keep me posted. & once again good luck :) I got my fingers crossed for you <3

Denise

Thanks so much

  • 2 weeks later...

Update.... I spoke with my insurance company yesterday after patiently waiting with anxiety for three weeks, only to find out they had overlooked 31 pages of paperwork. I was so upset I could have cried. Well as it goes on, I was told that I should hear something in two to three days. So disappointed right now.

  • Author

Aww.. its so nerve wrecking to sit and wait! I hope they make it up to you by approving you :) thats the very least they can do.. please keep us posted :)

I just called blue shield to check the appeal and the rep. stated there has been no appeal or even a peer to peer?! :/ I am so confused and I'm going to call my coordinator after work to explain this to me.

thanks,

denise :)

Aww.. its so nerve wrecking to sit and wait! I hope they make it up to you by approving you :) thats the very least they can do.. please keep us posted :)

I just called blue shield to check the appeal and the rep. stated there has been no appeal or even a peer to peer?! :/ I am so confused and I'm going to call my coordinator after work to explain this to me.

thanks' date='

denise :)[/quote']

I'm finding that a lot depends on how good and on top of everything the coordinator is. My dr.'s office seems pretty disorganized, and I never hear from anyone-I always have to make the call and hope someone there can answer my questions.

Let us know what you find out.

  • Author

Hi,

I really hope it works for the both of us. Lord knows how much I need it! I called my coordinator and they stated its now an open appeal and they're communicating with my insurance company so, they can get the proper paper work in. They don't want to get another denial.

Thanks denise :)

Hi' date='

I really hope it works for the both of us. Lord knows how much I need it! I called my coordinator and they stated its now an open appeal and they're communicating with my insurance company so, they can get the proper paper work in. They don't want to get another denial.

Thanks denise :)[/quote']

Ok, that sounds encouraging.

As to mine, BCBS wanted an updated nutrition report and psych eval. Did the nut. last week, and will do the psych eval on Monday. I did receive the letter from BCBS about it. I THINK it's a good sign bc if they wanted to deny my, they wouldn't need to get the reason from the nut. or psych eval. That makes me think they just want their ducks in a row to approve.

We'll see.

Hang in there, Denise.

  • Author

hey,

yes, that sounds very reassuring of an approval :) I'm sure you can't wait!!

I'm hanging in there. It's just so hard because I have doubts. I feel like I'm going to be denied again. wishful thinking I guess.. more of expecting the worse and hoping for the best :)

My friend just got approved for surgery. It only took a couple of days. She has a high bmi and sleep apnea.

Update....insurance company told me today that she will call me Wednesday. I'm praying she has an approval code for me.

Sent from my Samsung Galaxy S using VST

One more thing I also found out if the ball hadn't been dropped and I had an approval code, my surgery would have been today. #sadface

Sent from my Samsung Galaxy S using VST

  • Author

aww.. that would have been nice.. but I'm sure you'll get approved :) & before you know it you'll be on your way! keep me posted.. I'm going to my doctor (wednesday) that I was going to for 10 yrs. except the past year. I'm hoping since he was the one who recommended the lapband to me that he'll write me a letter of recommendation for the sleeve. He knows my struggles.. hopefully two doctors pushing my surgery will make sense for my insurance to give me my approval for a healthier longer life :)

We will be joining the losers bench soon...good things come to those who wait

Sent from my Samsung Galaxy S using VST

  • 2 weeks later...

I just checked with my doctors office and found out I'm approved by the insurance so they'll call me in a few days and schedule everything.

I just wanted to keep everybody informed. :-)

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