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Is Anyone Else Waiting To Be Approved Right Now?

NewAshes

By NewAshes, in Insurance & Financing

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NewAshes    232

NewAshes
Posted

I was submitted Tuesday t11-26-13

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Rena's got this    274

Rena's got this
Posted

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

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kan75251    66

kan75251
Posted

I am and it is DRIVING ME CRAZY!

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NewAshes    232

NewAshes
Posted

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

aww how come you were denied?

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NewAshes    232

NewAshes
Posted

I'm hoping to hear back next week

BryBro63 reacted to this

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Rena's got this    274

Rena's got this
Posted

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

aww how come you were denied?

My BMI wasn't 40+ over the last 3 years (yo yo dieting when I was weighed by my Doc), and the co-morbidities that they want that I have aren't severe enough. I'm appealing based on the fact that I have a number of co-morbidities that total up to a significant amount, even though they aren't all the ones they have listed. Also they said my 6 month diet didn't include any doctors notes, even though it was by a registered dietitian supervised by my primary care doc. I think my doc pulled her notes and sent them in, so that is taken care of at least!

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NewAshes    232

NewAshes
Posted

I was submitted on November 11th. Denied by BCBS of Alabama, and am now in the process of appealing their decision. It looks like I won't make my tentative surgery date of December 17th.

aww how come you were denied?
My BMI wasn't 40+ over the last 3 years (yo yo dieting when I was weighed by my Doc), and the co-morbidities that they want that I have aren't severe enough. I'm appealing based on the fact that I have a number of co-morbidities that total up to a significant amount, even though they aren't all the ones they have listed. Also they said my 6 month diet didn't include any doctors notes, even though it was by a registered dietitian supervised by my primary care doc. I think my doc pulled her notes and sent them in, so that is taken care of at least!
good luck to you!! Hopefully things work out!

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BryBro63    410

BryBro63
Posted

Very frustrating!!! I was submitted on 11/5/2013, and still waiting for a decision!! I've been calling the surgeon's office, and they keep telling me that they answered all their questions, and providied all requested information to Aetna. I call Aetna, and they told me 'we are working on your case as we speak, and will have a decision for you by the end of the day'...I was told the EXACT SAME THING every other day from 11/13 until 12/4, when all of a sudden I'm told my case was 'moved from team 1 to team 2' and they haven't looked at it yet!!! Now according to them, my case is now at the bottom of the pile again!!! My original surgery date WAS 11/21.

Trying not to let frustration and discouragement get the best of me, but it's getting more and more difficult!!! I have no idea why I would be denied...I have a BMI of 47, with high blood pressure, sleep apnea, and borderline diabetes...but of course the only thing I can do is wait.

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NewAshes    232

NewAshes
Posted

Very frustrating!!! I was submitted on 11/5/2013, and still waiting for a decision!! I've been calling the surgeon's office, and they keep telling me that they answered all their questions, and providied all requested information to Aetna. I call Aetna, and they told me 'we are working on your case as we speak, and will have a decision for you by the end of the day'...I was told the EXACT SAME THING every other day from 11/13 until 12/4, when all of a sudden I'm told my case was 'moved from team 1 to team 2' and they haven't looked at it yet!!! Now according to them, my case is now at the bottom of the pile again!!! My original surgery date WAS 11/21.

Trying not to let frustration and discouragement get the best of me, but it's getting more and more difficult!!! I have no idea why I would be denied...I have a BMI of 47, with high blood pressure, sleep apnea, and borderline diabetes...but of course the only thing I can do is wait.

i would be so angry. I was told my case is being reviewed so I'm going to call them later today. Doesn't your insurance have a certain amount of time? I was told mine has 14 days.

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Superfluous    19

Superfluous
Posted

Yep, I'm waiting too. Just had my last consult with the surgeon and all my paperwork gets submitted tomorrow.

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

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      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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