In the preliminary process of being submitted for approval...totally nervous! Anyone have previous experience with BCBS of Texas??

I have bsbc federal I believe they are similar if not the same. I received a letter of approval in about a week from the ins coord submitting all paperwork. You should not have a problem. Good luck!

Providing your specific plan does not contain any exclusions or craziness and you meet the fairly simple requirements, it should be easy sailing.

Im hoping that things will go pretty quickly. My BCBS of Texas is provided through HEB so Im hoping for the best. But from what I have heard, I shouldn' have too hard of a time getting approved. *fingers crossed*

Once your doctor submits the paperwork, call BCBS the next day to make sure they have it. Then call them daily and ask if you have been approved. Once you are, it will take at least a week or two from the time they make a decision until they actually mail the "official" approval letter to the doctor.

To speed up the process, you can ask them to fax a copy to the doctor in the meantime so you can move forward with the process while the "official" paperwork is en route. That can save you a couple of weeks of sitting around.

Hello! i have bcbs federal and i had wait three months before my surgery. i had to see a nutritionist once a month for the three months, get pychiatric approval (1 appointment only), and all my lab work. It really went by fast and wasnt too bad.i used the 3 months to do more research on the sleeve. I just had my surgery on Tues, Sept. 11th and was released from hospital yesterday. Am doing pretty good so far. Good luck with your journey to getting the sleeve!

I have BCBS of Texas and was amazed at how smooth and fast the approval process was. My first consult was June 5th, I received approval like June 25th and had surgery July 24th. I hope everything goes just as well for you. Plus everybody I have spoke with at BCBS of TX is super nice

I have BCBS of Texas and was denied and my appeal denied. I did self pay instead.

I have BCBS of Texas and was denied and my appeal denied. I did self pay instead.

Did they give a specific reason for denail?

I have BCBS of Texas and was amazed at how smooth and fast the approval process was. My first consult was June 5th, I received approval like June 25th and had surgery July 24th. I hope everything goes just as well for you. Plus everybody I have spoke with at BCBS of TX is super nice

Wow that is great! I'm glad to hear you are doing so well! Everyone I have spoken to with BCBS is very nice as well. I'm hoping that everythng will just fly by because i meet all the pre-determination requirements and i am doing the Dietician & Counselor stuff...I am just being impatient! I know I need to wait! lol... Now they did tell me that just this past May they dropped a 6 month waiting period requirement, which will work out well for me since I loose my insurance in April 2013. I turn 26 and will no longer be covered on my parents plan. Keep me posted on your progress!!!

Hello! i have bcbs federal and i had wait three months before my surgery. i had to see a nutritionist once a month for the three months, get pychiatric approval (1 appointment only), and all my lab work. It really went by fast and wasnt too bad.i used the 3 months to do more research on the sleeve. I just had my surgery on Tues, Sept. 11th and was released from hospital yesterday. Am doing pretty good so far. Good luck with your journey to getting the sleeve!

There was no mention of a 3 month wait period for me. He said as soon as I get my apporval we can schedule the surgery. I hope that isn't somthing they are going to wait until the last minute to tell me.

Does BCBS have to be doctor referred?

My pcp did not refer me to my bariatric dr I just made an appt. it just depends which bcbs I have federal. My dr was in network I have to pay 150 copay and hospital bill after surgery.