Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Approved! And Dancing

Ballermom

Recommended Posts

Ballermom    803

Ballermom
Posted

Okay I called the insurance company BCBS il and at that time i was told that I was Denied. Bummer! They said that my company excluded WLS. After telling me for several months that they cover it.

Wait. I called them several times afterwards to find out why. And i also called my Hr lady too. I asked BCBS for a copy of the policy that said my company excluded WLS.

Finally after getting the run around they said I'm approved!

I'm so excited! But waiting on a written letter of Approval.

Thanks for the support.

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

Thanks

You all are very supportive. I would have left it up to the coordinator expecting her to

Do what only I could do, that is question the policy change. Because they could not back up that statement that my policy didn't cover it. Any how it okay Now.

I feel like its my Birthday. Lol

Share this post

Link to post
Share on other sites

Heyher    581

Heyher
Posted

Big congrats to you!!!

Ballermom reacted to this

Share this post

Link to post
Share on other sites

JennyBeth    127

JennyBeth
Posted

How long did it take from the time it was submitted to insurance until you called BCBS to find out the status? Mine was just submitted to BCBS yesterday and I'm so anxious to hear something! Good luck to you on your surgery! :)

Ballermom reacted to this

Share this post

Link to post
Share on other sites

DreamsOfSkinny    53

DreamsOfSkinny
Posted

Okay I called the insurance company BCBS il and at that time i was told that I was Denied. Bummer! They said that my company excluded WLS. After telling me for several months that they cover it.

Wait. I called them several times afterwards to find out why. And i also called my Hr lady too. I asked BCBS for a copy of the policy that said my company excluded WLS.

Finally after getting the run around they said I'm approved!

I'm so excited! But waiting on a written letter of Approval.

Thanks for the support.

How AMazing!!! Did you get approved bc they couldn't produce that document??

Ballermom reacted to this

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

Hi,

I called my program coordinator said that she submitted it on 12/27 and they first denied it 1/2/12. So, I decided to call BcBs to see if they just received the case and I was dismayed that they already denied me! My coordinator already said to call her Friday. But I knew from helpful people here to also check and I did.

So, i spent 3 hours trying to make sense of the denial. Call my Hr lady, calling my coordinator back.

Even no one would return my calls from the program Imagine how i felt?

I was upset to say the least. I've already spent tons of money endured tons of stuff but in the end I did Get Approved!

It was a long 3 hour battle. They said my company excluded the WLS after telling me they covered it for the past several months and that I wasn't Obese enough. Lol

My BMI is 42.8!!!

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

How AMazing!!! Did you get approved bc they couldn't produce that document??

Not sure

I just know I started going at it lady like but

Not giving up. I must have made 10 calls.

And soo disappointed that no one from my program even called me back!

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

I meant that my coordinator only answered my 1st call to tell me when she submitted it that all the conversation I had with her.

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

I'm a private person too. So imagine having to talk to my Hr lady about the WLS before I needed to. This process made me pull up my Bra straps lol and be strong!

Good luck all!

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

How long did it take from the time it was submitted to insurance until you called BCBS to find out the status? Mine was just submitted to BCBS yesterday and I'm so anxious to hear something! Good luck to you on your surgery! :)

Hope you get approved soon!

Share this post

Link to post
Share on other sites

my3kids4life    22

my3kids4life
Posted

Okay I called the insurance company BCBS il and at that time i was told that I was Denied. Bummer! They said that my company excluded WLS. After telling me for several months that they cover it.

Wait. I called them several times afterwards to find out why. And i also called my Hr lady too. I asked BCBS for a copy of the policy that said my company excluded WLS.

Finally after getting the run around they said I'm approved!

I'm so excited! But waiting on a written letter of Approval.

Thanks for the support.

Okay I called the insurance company BCBS il and at that time i was told that I was Denied. Bummer! They said that my company excluded WLS. After telling me for several months that they cover it.

Wait. I called them several times afterwards to find out why. And i also called my Hr lady too. I asked BCBS for a copy of the policy that said my company excluded WLS.

Finally after getting the run around they said I'm approved!

I'm so excited! But waiting on a written letter of Approval.

Thanks for the support.

Okay I called the insurance company BCBS il and at that time i was told that I was Denied. Bummer! They said that my company excluded WLS. After telling me for several months that they cover it.

Wait. I called them several times afterwards to find out why. And i also called my Hr lady too. I asked BCBS for a copy of the policy that said my company excluded WLS.

Finally after getting the run around they said I'm approved!

I'm so excited! But waiting on a written letter of Approval.

Thanks for the support.

Congrats, I'm happy for you!!! I can't wait to do the approval dance myself. I will beginning my WLS journey for the 2nd time on Thursday I will meet with the surgeon. Good luck :)

Ballermom reacted to this

Share this post

Link to post
Share on other sites

Ballermom    803

Ballermom
Posted

Congrats, I'm happy for you!!! I can't wait to do the approval dance myself. I will beginning my WLS journey for the 2nd time on Thursday I will meet with the surgeon. Good luck :)

Hope you start Dancing and get Approved soon!

Good luck!

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×