Question...I have bcbs Alabama insurance. I have completed all of the steps for submitting my request for surgery. I did not have 3 years of medical records but used dates photographs and the past 18 months of medical history. My insurance denied my claim within a day of my request. My surgeons office says this is normal when they submit a claim with photographs but that they resubmit and get the approval. I am freaking out here with all the time and money I have already invested! Has anyone else ever had this experience or can share what your experience was with my same insurance? Any info would be helpful. Now I am wondering if I need a plan b and try for self pay in Mexico. Roughly how much is this option? Any advice and support will be helpful! It took several months to come to terms with having the surgery and the 7 more to meet insurance requirements. I have too much invested emotionally and financially for my journey to end here.

Blessings to all!

Guess who got approved??? This girl! Yay! So excited. Go to weigh in tomorrow. Praying I am 10 pounds lighter so I can get this scheduled! Yay!

Congrats!!!

YAY!!! CONGRATS! This gives me so much hope! Keep us update!

That's wonderful news!

Got my date today...October 22nd. Oh crap, that is soon! Have to lose 10 pounds by then too. If losing weight were so stinking easy, I wouldn't need the surgery. Oh well, wish me luck and I chug down my supper of protein shake (pinching nose)! Oh joy that I get to drink it all over again tomorrow morning

Wow that was quick! Good luck. Keep us updated!

Awesome! So glad people are getting approved. Hope I'm next. My last pre op appt is Nov. 1st. Can't wait to submit.

Hey Ladies! I have a quick question. The other night i got an email about a claim so i log in BCBS of Al site to find out they didn't pay for my Surgery consultation or Psychological testing stating it was not covered and the balance that I need to pay. Is this normal? My surgeon’s office told me all I needed to pay was my $40 copay.

Hey Ladies! I have a quick question. The other night i got an email about a claim so i log in BCBS of Al site to find out they didn't pay for my Surgery consultation or Psychological testing stating it was not covered and the balance that I need to pay. Is this normal? My surgeon’s office told me all I needed to pay was my 40 copay.

Oh boy... This makes me nervous! I called and my psych was out of network so i know i'll be stuck with paying 40% of bill but I never asked about consult--figured it was just covered as a specialist appt. I have UHC though.

When I set up my Psych evaluation, they told me it would be $300 after they found out that I had BCBS. My statement said they covered 50% but there was a deductible to meet so it said I owed another $700! The psych did not expect that payment. They did it for the $300 flat fee. Yours may be a similar situation.

Humm? I did not have to take a psych evaluation. Wonder why some do if I didn't?

Surgery in one week....assuming I lose my pre-op weight by the, which I am at a standstill with :-(

Humm? I did not have to take a psych evaluation. Wonder why some do if I didn't?

Surgery in one week....assuming I lose my pre-op weight by the' date=' which I am at a standstill with :-([/quote']

BCBS didn't require it but my surgeon's office does. And they charge 600! BCBS says they will pay it only if I'my approved for surgery..

When I set up my Psych evaluation' date=' they told me it would be 300 after they found out that I had BCBS. My statement said they covered 50% but there was a deductible to meet so it said I owed another 700! The psych did not expect that payment. They did it for the 300 flat fee. Yours may be a similar situation.[/quote']

Yea the dr is giving me a reduced fee of self pay of 400 instead of his 600 fee since they won't pay till after I'm approved for surgery. He says he hates BCBS of AL. He said They are the only one that will only pay after approval and surgery. I'm going to be so upset if I pay all this money during the next few months and not get approved!

I am beginning to dislike BCBS of AL as well. I am looking at my husband's insurance which is Cigna. It is currently open enrollment and I am wondering if we should add his insurance, since they consider hyperlipidemia and arthritis as comorbidities. With my high cholesterol and degenerative disc disease, it sounds like they would cover. Not sure what the waiting period would be. Anybody have any idea?

I am having the same problems with BC/BS. Kansas is my primary and Oklahoma is my secondary. To think I used to be jealous of people who had this coverage. LOL