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

Insurance Claim filed with BCBS Federal/Surgery Scheduled for 01/14/2014



Recommended Posts

I found out that my doctors office just sent my claim to my insurance for gastric sleeve surgery on 12/30/2013. I hope that is enough time to get an approval or denial by my surgery date 01/14/2014. I called BCBS Federal and they confirmed the claim was received and is being reviewed. I am so excited and scared at the same time. I met all of the qualifications, with my insurance you had to have a BMI of 35-45 with one or more comorbidity, or a BMI of 40 for the past two years. I have a BMI of 39 with sleep apnea. I did my 3 month weight loss program which I actually did 4 months so I could wait until January 2014 to be sleeved, and my phsyc. eval. I am so nervouse. I wonder how long it took other people with BCBS federal to get approved once submitted? Looking forward to a new year and a new me hopefully.

Share this post


Link to post
Share on other sites

Relax. They waited until 2 weeks out to submit mind to Avmed. They do this routinely. God Bless and enjoy your New Year's Eve!!!!!!!!!

Share this post


Link to post
Share on other sites

My BCBS Federal was submitted on November 20, 2013. I was supposed to patiently wait for the doctor's office to give me the call-back. But I learned from others on this site to be pro-active. So, on Monday 11/25 I called BCBS and was told my surgery had been approved on 11/22.

I called the doctor's office and was told that the certification specialist was out the whole week for Thanksgiving. Lucky for me, On 11/26, I received a letter from BCBS stating that they had approved five days 12/23 - /12/27/2013 for my hospital stay. I faxed this document to the surgeon, and they went ahead and locked in my date for 12/23.

I wish everyone could have my surgeon, Dr. Bipan Chand at Loyola University Medical Center in Chicago. So, I was sleeved on 12/23/2013 and have had NO shoulder gas pain. I am 8 days out now, and starting to get some energy back, and no longer need pain meds. The steri strips fell off today.

Count your blessings that you have BCBS Federal. It is the best insurance I have ever had - ever! Good luck to you. I will see you on the other side.....

Share this post


Link to post
Share on other sites

My BCBS Federal was submitted on November 20, 2013. I was supposed to patiently wait for the doctor's office to give me the call-back. But I learned from others on this site to be pro-active. So, on Monday 11/25 I called BCBS and was told my surgery had been approved on 11/22. I called the doctor's office and was told that the certification specialist was out the whole week for Thanksgiving. Lucky for me, On 11/26, I received a letter from BCBS stating that they had approved five days 12/23 - /12/27/2013 for my hospital stay. I faxed this document to the surgeon, and they went ahead and locked in my date for 12/23. I wish everyone could have my surgeon, Dr. Bipan Chand at Loyola University Medical Center in Chicago. So, I was sleeved on 12/23/2013 and have had NO shoulder gas pain. I am 8 days out now, and starting to get some energy back, and no longer need pain meds. The steri strips fell off today. Count your blessings that you have BCBS Federal. It is the best insurance I have ever had - ever! Good luck to you. I will see you on the other side.....

Hi I am set to be sleeved by the same surgeon on 2/20/14!!! yayyy me! Hope ur doing well!!!

Share this post


Link to post
Share on other sites

Dr. Chand's team is awesome. Congratulations that you got your date. I wish you good luck and good health. let me know how your surgery goes.

Share this post


Link to post
Share on other sites

My BCBS Federal was submitted on November 20, 2013. I was supposed to patiently wait for the doctor's office to give me the call-back. But I learned from others on this site to be pro-active. So, on Monday 11/25 I called BCBS and was told my surgery had been approved on 11/22.

I called the doctor's office and was told that the certification specialist was out the whole week for Thanksgiving. Lucky for me, On 11/26, I received a letter from BCBS stating that they had approved five days 12/23 - /12/27/2013 for my hospital stay. I faxed this document to the surgeon, and they went ahead and locked in my date for 12/23.

I wish everyone could have my surgeon, Dr. Bipan Chand at Loyola University Medical Center in Chicago. So, I was sleeved on 12/23/2013 and have had NO shoulder gas pain. I am 8 days out now, and starting to get some energy back, and no longer need pain meds. The steri strips fell off today.

Count your blessings that you have BCBS Federal. It is the best insurance I have ever had - ever! Good luck to you. I will see you on the other side.....

Miss Mac Omg I have finally found someone who have had surgery with the group. Dr. Sarker will be doing my surgery on the 30th of this month. Congrats on your surgery and recovery. Everyone is very nice there.

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

    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 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

    ×