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BCBSNC PPO

I am contemplating getting the sleeve. I have BCBSNC and I just wondered how long it has taken some of you to get approved. I am going to a seminar on this coming Wednesday. What should I expect? Does the process begin after the seminar?

Thanks,

greenivy

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I went to my seminar in July. By the time I completed all requirements, doc requested approval from my BC plan In Oct, approval was rendered within 5 days & scheduled surgery for first week in Nov. While it may seem like a long time, it really went pretty quick.

  • Author

Private Sleever

What were some of the requirements? Any regrets thus far?

2 Consults with surgeon

Psyc eval

Upper GI

Arterial blood gases

Pulmonary clearance

sleep study

Chest X-ray

Abdominal US

Labs

Mammogram (if routine wasn't done in past 12 months)

2-3 informational sessions at the WLS clinic ( with nurse and/or nutritionist)

I believe this was all. If I missed anything, it's probably only 1 or 2 other things.

Regrets: NONE WHATSOEVER!!!!!!!!

  • Author

Private Sleever

Thanks so much for responding!

the process differs from patient to patient... I only had to do the standard visit with surgeon, dietitian, and psych eval.

the process differs from patient to patient... I only had to do the standard visit with surgeon' date=' dietitian, and psych eval. [/sub']

I had to do the same and the approval was less than 2 days. Obviously policies are different but I do think that bcbsnc as a whole is very easy to work with. Good luck with the whole crazy process!

  • Author

Kitaj80

Seems like things moved quickly for you. How long did it take before you had your procedure?

I haven't had my procedure yet... It is schedules for September due to work obligations. but I had my first visit with surgeon on May 23, 2013 then had my dietitian and psych eval on June 6 & 11 got call that I was approved on June 20

  • Author

PaperBullets

Thanks for your response!

  • Author

Kitaj80

Congratulations on your approval and good luck with everything!

Hi there :) I went to the seminar at the end of Feb. and was sleeved at the end of May. I had nutritionist, exercise physiologist, psych, Upper GI series. Some of my "hoops" I jumped through were surgical team mandates and not insurance. It took 2 days to be approved once submitted. Best. Decision. Ever! Good luck!

  • Author

LeahBsMommy

Awesome! How do you feel? Any regrets?

  • Author

Also...I know everyone is different but how long were you all out of work?

Also...I know everyone is different but how long were you all out of work?

I took two weeks but that was primarily because I also had a hernia repair and, well, I liked the time off! I work in an office so could have honestly gone back after 3 days.

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