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

Insurance Stalling?



Recommended Posts

Okay so my bariatric coordinator has been trying for 2 weeks to reach my insurance company Blue Cross Blue Shield of Texas to confirm that my plan covers the sleeve. However she can't get through to them. BCBSTX is saying they are still updating their policies. My coordinator said it wasn't only BCBSTX but also Illinois and Alabama as well as other insurance providers. Anyone else being stalled for policy updates?

Share this post


Link to post
Share on other sites

It must have something to do with all the new healthcare policies going into effect in 2014. I have BCBSTX and my approval went through very quickly, but that was last year.

Share this post


Link to post
Share on other sites

I hope mine goes through quickly too but I'm starting to get nervous. I know the time to be nervous is after I submit my paperwork for approval but I feel like if its this hard to just get a explanation of benefits then I may be in for quite the waiting game. I'm not a very patient person. LOL!

Share this post


Link to post
Share on other sites

I had a horrible experience with Blue Cross / Blue Shield of CA and Delta Health System. My bills from my surgery on 5/23/13 have still not been paid properly and that was after I fought them for 4 months to get pre-approval of my surgery. I hope your experience is much better than mine, but be prepared to call and raise heck with them on a regular basis. Good luck, I can tell you that all the heart ache and frustration of dealing with the insurance issues was worth it in the long run. I'm down 90 pounds in the past year!

Share this post


Link to post
Share on other sites

Laylaj,

I have the same insurance company. It was submitted back in October and I just received the 1st letter of approval today. I felt the same as you. Good Luck!

-Diz

Share this post


Link to post
Share on other sites

Wow Catherine707 that's awful! I hope I don't have to wait so long. However just as you said it will be worth the wait. Congrats on your weight loss success!!!

Share this post


Link to post
Share on other sites

DizNeeGirl, congrats on your approval! I hope I am approved. From what I have read everyone is getting approved even if it takes awhile.

Share this post


Link to post
Share on other sites

I too have BCBS of Texas and my paperwork is being submitted this week. I see a lot if different time spans for peeps to hear back so who knows. Good luck and hoping u hear something soon!

Share this post


Link to post
Share on other sites

Thank you so much. I have to see the nutritionist on Tuesday and then have my psych eval. Then I will be ready to submit.

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

    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 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

    ×