After hearing for years that Blue Cross Blue Shield of Texas was nearly impossible to get approved through from various people, I got approved in 5 days. They were very helpful, to the point of a representive calling me back when she saw the approval had gone through, they also recently changed our plan where 6 months of supervised weight loss was no longer needed. I got approved with one NUT visit, and Psych eval. I was shocked by helpful, and painless this process was. I never in a million years thought it would be this simple to deal with them. My surgery is now scheduled for 12/17, and I am so ready to start my life as a much smaller and healthier person! The quick approval has taken so much stress off of me, and now I'm just ready to get this surgery done.

Did u have to go for radiology and cardiac clearance?

No just endoscopy and gallbladder ultrasound

Dr. Macik office just called me and stated that they will submit to my insurance on Friday. I need a cardiac, pulmonary, and upper Gi clearance for surgery, once approved.

Oh sweet day in the mornin'!!! You just literally MADE MY DAY! I'm down in the Corpus Christi area and I also have BCBS of TX...and i'm just waiting on the approval...they have had my case since the 23rd...and I just have not been able to bring myself to call them back again and see if the have a result....I'm too afraid of rejection! I know every case can vary...but reading your story made me feel so much better,gave me some hope....and a little kick in the rear...THANKS! I'm gonna call in the morning!

BAHAHAHAHA!!! I just found out that they approved me two days after it was submitted!!! I cried like a baby! I'm so excited I think I just might explode!

Congrats love bug good luck

Ahhhh!!! I also have BCBS of TX and tomorrow will be 3 weeks of waiting for approval :/ they sent a letter to my Dr. Last week requesting additional info (a copy of post op procedures from the doctors office) Dr office submitted it on Tuesday... Still waiting....

Did u have to go for radiology and cardiac clearance?

Hey there...

Did you have to go for the pulmonologist and cardiology clearance?

Jerseygirl68, what plan do you have and do they cover 100%? I have horizon bcbs epo plus

I am excited while awaiting approval from insurance. I have my pulmonary, cardiac, and upper GI clearance . I have bcbs of nc.

I got my surgery approved. Love the weird letter you get, yeah approved but not exactly saying they are paying for it guaranteed ( all insurance mumbo jumbo). Now I have my surgery date, Dec 6. I developed shingles and could have had a sooner date in Nov but had to take steroids for a bit. Well it will work out this way. I can get everything in place for the holidays and my surgery. Now I just need my cardiologist to send over that stress test to my surgeon. I signed off on that in July but some how it still hasn't been sent ( less than 5 miles).

I got my surgery approved. Love the weird letter you get' date=' yeah approved but not exactly saying they are paying for it guaranteed ( all insurance mumbo jumbo). Now I have my surgery date, Dec 6. I developed shingles and could have had a sooner date in Nov but had to take steroids for a bit. Well it will work out this way. I can get everything in place for the holidays and my surgery. Now I just need my cardiologist to send over that stress test to my surgeon. I signed off on that in July but some how it still hasn't been sent ( less than 5 miles).[/quote']

Congrats! I'm happy for you! I was expecting to have mine before the end of the year, but they couldn't get me in until January 14th. It isn't as soon as I would like, but I'm sure it will be here before I know it! Keep us posted on your progress:-)

I am in nj. I had my consultation with the surgeon last week all my appointments are set up I have a tentative surgery date of April 14. Bcbs epo. Fingers crossed all goes well and quickly.

I am so confused. My doctor's assistant is insisting on 3 months supervised diet, but when I called BCBsTX they did not have a time frame requirement. The assistant's response was that she could try submitting now, but I could be denied. Then I started this with a BMI of 41 but after a month I am down to a 39 and afraid they won't approve me. So confused!! Any advice?