Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Blue Cross Blue Shield Highmark



Recommended Posts

Lou so after the 3 days did they schedule your surgery date or before?

Share this post


Link to post
Share on other sites

I was approved after 3 days and I actually waited a month to lose more weight . I had two consults with my surgeon and then his coordinator set my date

Share this post


Link to post
Share on other sites

I am just trying to get my head around all this and what to expect. I saw the surgeon I'm July and he said after my psych evaluation on October 3rd they would hurry and get things done. I saw the nurse practioner last month and at that appointment they went ahead and scheduled for me to see the surgeon on October 23 for final appointment. I will see the NP again September 24. So I was just curious how things work

Share this post


Link to post
Share on other sites

I have BCBS of IL....it took 2 days for my approval but I called them. I've worked for insurance companies for over 15 years so I know you gotta stay on top of it. Good luck!

That's great to know! I have bcbs il and my info, was submitted Thursday. Gonna call them tomorrow and follow up.

Share this post


Link to post
Share on other sites

That's great to know! I have bcbs il and my info' date=' was submitted Thursday. Gonna call them tomorrow and follow up.[/quote']

I have BCBS too. The approval request letter was sent on 9/10 and on 9/14 I received a call from the bariatric center that the surgery was approved. I was amazed! And happy! I hope everyone's insurance approval goes smoothly!!

Share this post


Link to post
Share on other sites

Ok I have a stupid question. Ok so bcbs requirements are6 months right? So they counted April as my first appointment so April may June July August September makes 6 months right? Makes 6 weigh ins. Right?

Share this post


Link to post
Share on other sites

I am just really praying that I am misunderstanding and mu surgery will be in October after my psych evaluation on the 3rd which is done at the weight loss center and they are doing it as an all day appointment instead of 2 or 3 appointments

Share this post


Link to post
Share on other sites

My authorization came in a week, I have anthem blue cross blue shield, the surgeons office was amazed it came so fast... I called for a pre-authorization at the beginning of the process... I wish you the same success...

Share this post


Link to post
Share on other sites

Thanks its just confusing when I see some having surgery dates and have to do the 6 month diet and started after me and so I was wondering if I was just missing something LOL

Share this post


Link to post
Share on other sites

Ok I have a stupid question. Ok so bcbs requirements are6 months right? So they counted April as my first appointment so April may June July August September makes 6 months right? Makes 6 weigh ins. Right?

It depends on your policy. Mine did not require any pre op diet. Info was sent in last thurs, called today and they said they were missing the psych Eval and letter from the surgeon stating that I was educated on post op procedures, so I had to call my surgeon again today and have them resubmit that info. Hoping it goes quickly now...

Share this post


Link to post
Share on other sites

I too have Blue Cross...they told me today they needed old medical records...btw, I sent them to my surgeon's office. The customer service rep was super nice...she said she had bariatric surgery in February and reassured me that bcbs is quick to approve surgery bc they understand it's better in the long run! Fingers still crossed!!!

Share this post


Link to post
Share on other sites

Bcbs should know everything about me LOL. I have had them (though.different subsidiaries) since 2008. They know me better then I know me lol

Share this post


Link to post
Share on other sites

Ok I have a stupid question. Ok so bcbs requirements are6 months right? So they counted April as my first appointment so April may June July August September makes 6 months right? Makes 6 weigh ins. Right?

It depends what kind of BCBS you have. I have BCBS federal and they only had a 3 month requirement. The also required records from the past 2 years stating my weight and weight related issues such as infertility and sleep apnea. They also required a psych eval and nutritionist counseling. Everything is done and just awaiting the recommendation letter from the PCP and then we submit. Hopefully this week!!

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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

      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.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 4 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

      4. AmberFL

        How are you doing? any update?!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 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

    ×