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BCBS in MA approved me in 2 days.

Kaci

By Kaci, in Insurance & Financing

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Kaci    0

Kaci
Posted

I had surgery on June 4th, 2004. My insurance company is BCBS MA HMO Blue of New England. My paperwork had been turned in on April 28th and I got a call at 8:23 am on April 30th that I was approved and had a surgery date. They are really great to work with. I called several times on the 28th and 29th to see where it was in the process. Their people were wonderful. They checked several things making sure to help me out.

They started approving lapband on January 1st 2004.

I hope that whoever has this insurance has as easy a time as I did.

Kerri

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decobooth    0

decobooth
Posted

That is truly wonderful! But I am about at my wit's end! I've waited eight months, not just on insurance, who has now pre-approved me, but on the original physician I was referred to to do the procedure, as he didnt take insurance, and now that I've finally got one who does, and am scheduled for July 16th, I get a call from the hospital this morning that BCBS of TX is only willing to pay$1200.00 of a $10,000.00 hospital bill! I'm so frustrated now, I'm livid! Well, I've never been one to be loud and obnoxious, I find that distasteful, but I didn't ASK to have this done, my primary doc TOLD me to, or I wouldn't be around to see my grandkids! So the insurance company has no idea just how loud this little 5'2" single-mom-of three-teen-daughters fat woman can get! I have worked and paid into insurance for 30 years this year, I have voted every time those polls were open, I have always supported myself and my children, and Im fighting mad now! I have no idea what recourse I have, but I will pursue this till I get something done! Any ideas out there? Please?

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decobooth    0

decobooth
Posted

Alrighty then! Now that's what I call fast! I just called the hospital, and told them basically what I just spouted off in my previous thread, and the head honcho assured me it was a contractual problem between the hospital and the insurance, and that my op will be done and taken care of! See? I guess squeaky wheel DOES get the grease!I still find it distasteful, though! Anyway, yipeeee! Come on, Juy 16th!

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Penni60    45

Penni60
Posted

Good for you deco; We can't let them bully us around anymore. Some people would just roll over and admit defeat. NOT ME.. I will always and forever fight with the powers that be.

WHOO HOO!!!!:D :D :D :D :D

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Alexandra    55

Alexandra
Posted

Kaci, congratulations!! It's wonderful when an insurance carrier actually behaves as though it's on our side, instead of just saying that they are.

And Deco good for you!! I had a similar problem with my insurance carrier but it was straightened out in the end. It all comes down to money, every time.

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Go To Topic Listing Insurance & Financing

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      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. LeighaTR

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    • Alisa_S

      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.
      · 1 reply
      1. summerseeker

        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.

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        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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