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

Blue Cross Blue Sheild Federal Approval



Recommended Posts

I am so excited I just got the call from blue cross blue Sheild Federal that my request was approved and my letter will be mailed out. My doctor submitted the docs on 12/30/13 and I was approved 01/02/2014. I am scheduled to be sleeved on 01/14/2014. This has got to be my year.

Share this post


Link to post
Share on other sites

CONGRATS! My surgery coor. just called me this morning to inform me that she submitted everything this am hopefully I will hear something soon I have BCBS of AL and im on pins and needles!!

Share this post


Link to post
Share on other sites

Congrats. I'm still waiting on my appeal with BCBS of Alabama. I've called my surgeon's office during business hours, but can't get them to call me back with an update. I am about to get depressed with no news....

Share this post


Link to post
Share on other sites

Hey Lady_H ---- I know exactly what you mean by pins and needles. I am going to send good thoughts your way and wish you lots of luck on your journey.

CONGRATS! My surgery coor. just called me this morning to inform me that she submitted everything this am hopefully I will hear something soon I have BCBS of AL and im on pins and needles!!

Share this post


Link to post
Share on other sites

Rena's Ragdolls ---- That really stink that they did not approve your claim and you are having to appeal. What reason did they give? There are so many comments about denials and appeals, make sure you keep pushing back until you get to a Peer to Peer where the doctor actually talks to the Insurance. Good Luck to come your way......

Congrats. I'm still waiting on my appeal with BCBS of Alabama. I've called my surgeon's office during business hours, but can't get them to call me back with an update. I am about to get depressed with no news....

Share this post


Link to post
Share on other sites

Congrats! I received my approval from BCBS Fed before Christmas and I'm scheduled to be sleeved 1/29. Tomorrow I go to hospital for preregistration, labs, EKG, chest X-ray initial dietary program appointment and pulmonary function test. Low carb diet starts next week and two weeks later I start the liquid diet.

Share this post


Link to post
Share on other sites

I have bcbs fed and my doc is submitting all my paper work Monday. The doctor say that I will most likely be approved ..but still very nervous they will reject me. I have met all the requirements....so I'm praying and crossing my fingers.

Share this post


Link to post
Share on other sites

I was very shocked with the holidays and all how fast I was approved. Once it is submitted you can call customer service and they can check to see if an approval letter is sent. I called every 2 days. Once I got my letter it had the wrong dates on it so the doctors office had to call to get it changed but no big deal. I am scheduled for Tuesday January 14, 2014 to be sleeved. I am very optimistic but very nervous all at the same time now that its a reality. Wishing you all the luck in the world on your journey:)

I have bcbs fed and my doc is submitting all my paper work Monday. The doctor say that I will most likely be approved ..but still very nervous they will reject me. I have met all the requirements....so I'm praying and crossing my fingers.

Share this post


Link to post
Share on other sites

Having bcbs federal basic can you tell me what your out of pocket was or do u have standard?

Share this post


Link to post
Share on other sites

Having bcbs federal basic can you tell me what your out of pocket was or do u have standard?

I had to pay 150.00 to my doctor and 40.00 for all the test and 175.00 per day in the hospital. I have bcbs basic federal:)

Share this post


Link to post
Share on other sites

I finally got through to my surgeon's office. They told me they resubmitted some extra medical information and now the 30 day wait begins again with my BCBS of AL insurance. Sigh.... next will be the peer to peer appeal.

I want to call the insurance just to see if they've reviewed the additional medical records yet, but am scared that if I bug them too much, they won't approve me since I'm borderline with the comorbidities and BMI.

After I finished my 6 month dietitian diet, and my doc took me off Metformin (making me sick), I've started to gain weight again, and I'm afraid that my health is going to go downhill fast if this isn't approved. Yep...back up to 244, but I'm NOT changing my ticker again!!

Share this post


Link to post
Share on other sites

Well! No bugging needed any more! I got a call this morning telling me I'm approved. Such a relief!!!!!!!!!

No Mexico for me!

Share this post


Link to post
Share on other sites

Congratulations!!!!

I was approved on 1/10 and have still heard nothing about a surgery date :( when I call the office I get a recording promising to call back as soon as they have the 2014 OR schedule. Shouldn't that be in place prior to 2014? I want this done!!!

But how exciting for you! I can't wait to read your progress!

Share this post


Link to post
Share on other sites

Hi yall I love reading all the post, my doctor office submitted my info to my insurance on Jan 14, I still haven’t heard back, I am so nervous i dont know what to do.... im excited at the same time. I love this group

Hi yall I love reading all the post, my doctor office submitted my info to my insurance on Jan 14, I still haven’t heard back, I am so nervous i dont know what to do.... im excited at the same time. I love this group

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

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. 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

      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

        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.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        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

      Officially here for a long time, not just a good time💪
      · 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

    ×