I need some help I am sooo confused!! I am in the State of Mississippi and my insurance is State and Teachers Insurance/BCBS.. and this is their first year covering bariatric surgery. They have changed so many things in these past few weeks. I was informed of the policy changes in October and I have completed all pre testing.. Psych, sleep study, labs.. PCP clearance.. etc.. And I had my surgeon consult Jan 3rd.. This is the issue. I was told that we had to have 6 month supervision diet beginning January 1,2013!!! ugggghhh... With that being said... I have already had over a year of supervision with my PCP and with my insurance weight management program. Well earlier this week I received a call stating that the State has changed the requirements that we CAN use the previous months... SO I AM READY is what they told me and my bariatric coordinator, Mary states that she will submit my information for pre-cert.. My question is what happens now? What is the turn around time? What if I am denied? I have been busy with tasks since I found out about the policy changes.. I have began to work out and watch what I eat and I have lost 28 pounds to show my determination to this lifestyle change.. :D

I need some help I am sooo confused!! I am in the State of Mississippi and my insurance is State and Teachers Insurance/BCBS.. and this is their first year covering bariatric surgery. They have changed so many things in these past few weeks. I was informed of the policy changes in October and I have completed all pre testing.. Psych' date=' sleep study, labs.. PCP clearance.. etc.. And I had my surgeon consult Jan 3rd.. This is the issue. I was told that we had to have 6 month supervision diet beginning January 1,2013!!! ugggghhh... With that being said... I have already had over a year of supervision with my PCP and with my insurance weight management program. Well earlier this week I received a call stating that the State has changed the requirements that we CAN use the previous months... SO I AM READY is what they told me and my bariatric coordinator, Mary states that she will submit my information for pre-cert.. My question is what happens now? What is the turn around time? What if I am denied? I have been busy with tasks since I found out about the policy changes.. I have began to work out and watch what I eat and I have lost 28 pounds to show my determination to this lifestyle change.. :D[/quote']

Now you wait!!! That's he worst stinking part :/. You've done your job, sounds like your surgeons office did there's, it's out of your hands . Turn around for most is a few days to a couple weeks. If you are denied then your case coordinator will know how to appeal but honestly it sounds like you've done your research and have all your ducks in a row!!!!

Take this time to educate yourself on postop life. Pray, and dream of how awesome you'll be feeling by summer!!!! Good luck!!!

Once your surgeon submits everything to the ins. company, its just a waiting game after that. Mine was submitted on a Monday and I was called on that thrusday that it was approved.