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Waiting for authorization, on pins and needles

I spent a few hours last night reviewing this topic and now have doubts and worries and all kinds of swirly thoughts and potential dread!

The practice said they don't submit anything they think has a chance to be refused, I hope their right.

Here is what I know, 6 month diet done, bmi 39, sleep test resulting in a positive diagnosis for sleep apnea, GP recommendation, psych eval - was all good enough for them to submit.

The insurance is Anthem BCBS out of TN, seeing other's anthem experiences it seems a little all over the place, so I don't really know what to think. The insurance company said its under nurse review and they have 15 days to render a decision.

If anyone has experience with Anthem in TN, I would love to hear!

Thanks

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I finally got my approval' date=' yeah! They took the whole fifteen days. Now I have to wait for my doctors office:(. Hang in there ladies! [/quote']

Awesome! So excited for you and looking forward to hearing what all happens next.

I called the insurance company and tomorrow is 15 days and would have an answer by e.o.d. Tomorrow. So heavy nerves have set in.

Thanks! I was trying not to call until later today. Then I went and checked the mail and there it was :D From here I have to wait until they receive the approval in financing, they have to bring my file up to my doctor's office and the scheduler will take it from there. If I don't here from them by Wednesday I'm going to start calling. Hopefully you'll have your answer (approval) early tomorrow. I'm sending out positive thoughts for you:) What are you doing in the mean time? Are you doing shakes or still following your diet?

  • Author

Thanks, no I am just doing a lousy job dieting. I may have lost five pounds in the last three weeks. If all goes thru, we will move on to shakes. Thanks for the good thoughts. I will try to keep it together. You're better than I am, I'd be calling them first thing! Actually, I will be calling today. :).

  • Author

Just called insurance. Approved!

Yeah!!!! Congratulations!!!!! See all that worrying for nothing. We're on our way.

I'm so happy for y'all to get your approvals!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :) :) :) I sure hope I get a yes as well. I'm doing a terrible job waiting. I've been imbibing in my food addiction and eating things I won't be able to have once I get approved.

As I was just telling a friend, I haven't wanted anything so badly since I lost 70 pounds to join the Army. I could do that then--was in my 20's and my joints aren't like they are now. Now that I'm 48 my body needs help to lose the weight. If I could kick myself in the rear end, I'd break my leg for gaining my weight after I lost it and spent 7 years in the Army.

Congrats! I'm totally waiting anxiously too I was wait until tomorrow to call but I just can't wait. I just don't want to be denied.

I'm so happy for y'all to get your approvals!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :) :) :) I sure hope I get a yes as well. I'm doing a terrible job waiting. I've been imbibing in my food addiction and eating things I won't be able to have once I get approved.

As I was just telling a friend' date=' I haven't wanted anything so badly since I lost 70 pounds to join the Army. I could do that then--was in my 20's and my joints aren't like they are now. Now that I'm 48 my body needs help to lose the weight. If I could kick myself in the rear end, I'd break my leg for gaining my weight after I lost it and spent 7 years in the Army.[/quote']

Don't go breaking body parts then you'll need another surgery: ) Isn't amazing how different our mental state is now compared to our twenties? (I'm 40) This is the smarter us taking back control of our lives. Hang in there!

My coordinator told me not to call my ins (bcbsil) because it may cause them to push my packet to the back. I'm dying over here waiting. Lol

  • Author

Well, I figured it was my insurance, my money that pays for the insurance, my health and I have a right to know. I was never told to do otherwise, so I called multiple times. And they may have pushed it to the end of the pile, but the honored the commitment in saying they would have a response within 15 days. Now if the surgeons office would just call!

I agree! Its your insurance. If you call several times a day there is nothing they can do but answer your question. Although I don't recommend doing that. It will only stress yourself out. UHC took every one of the 15 days for my approval. Now I'm still waiting. Try and find something to keep you busy. Your day will come.

Dang ladies...congrats!

I'm waiting for my surgeon's office to submit to insurance, then my 15 day wait begins. I'm borderline with co-morbidities, Borderline with BMI for the past 3 years and am hoping that everything is ok. BCBS of Alabama has a reputation of denial on the first try. Makes me ill thinking of it.

I finally got my approval yesterday. Took roughly six days for bcbsil. My bmi is 50. Pre diabetes and hypertension.

You are not alone! I'm waiting on United Healthcare. My paperwork was submitted on the 14th of October. I'm trying not to blow up my coordinators phone. (She is a very sweet and caring lady) Same here' date=' nothing yet: ( They have 15 days, which puts me at November 4th. But I need to know already! Praying for patience.[/quote']

I have UHC as well and they approved me in 10 days. Good luck!

I finally got my approval yesterday. Took roughly six days for bcbsil. My bmi is 50. Pre diabetes and hypertension.

See there you did all that "I'm dying over here" and yours only took six days B) Congrats and welcome too the club of "now were waiting for scheduling". :o

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