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

Paperwork Submitted



Recommended Posts

I have BCBS UT Select and they require a 6 month doctor supervised diet and 5 year history of obesity.

I'm going through Dr. Veninga in Carrollton, TX.

Share this post


Link to post
Share on other sites

I'm keeping my fingers crossed for all of you. I was just approved today on my second try. I guess even though I had a 12 month diet requirement, I'm fortunate that it took only one night for approval.

I hope you all find out soon!!

Share this post


Link to post
Share on other sites

I completed my 6 month diet on Thursday and Dr. Veninga's office was submitting my paperwork to BCBS on Friday. So now it's just wait and see. They said the response time could be 2-6 weeks. So, I'm just waiting.

Share this post


Link to post
Share on other sites

I just got approved today! :) Paperwork was sent in on Friday!

Yeah Ragdoll.... I am so happy for you.

:clap2: :) :clap2: :D :clap2: :D :clap2:

Hopefully I will be right behind you... When is your surgery date?

Keep us posted on your progress.

Share this post


Link to post
Share on other sites

Good luck to all of you that are waiting on insurance approval...I hope and pray each of you are approved, and I hope you get approval really soon....

Share this post


Link to post
Share on other sites

Hopefully I will be right behind you... When is your surgery date?

Keep us posted on your progress.

I go to complete my pre-op tests tomorrow and see Dr Marsden next Thur. They said I can schedule it for 2 to 3 weeks after that so I have time to be on the pre-op diet.

I pray you get good news soon!

Share this post


Link to post
Share on other sites

Congratulations and please keep us posted with your progress. I have an appointment with Dr. Marsden for my initial consultation next Thursday.

Share this post


Link to post
Share on other sites

Well I called UHC again today and was told it was still in review. And the lady I talked to couldn't believe it is still in review since it was submitted on the 19th. So she put a rush on it. So I will try them again on friday. Good grief! Come on and approve me already.

Will post if I hear anything else!

Share this post


Link to post
Share on other sites

Rosanna, That for lack of a better word SUCKS! I would call them daily if it were me. After you get approval how soon can you have your surgery done?

Share this post


Link to post
Share on other sites

Grrrr.. I am so angry. :fish:

I was told that I didn't have a BMI of 40 or more for 5 years. Which I knew I didn't. But I have had 40 BMI for the last 3 years and as they can see if they looked thru my past 5 years of medical records that I can lose but I can't keep the dern weight off.

So I will be appealing.

Anyone have a situation like mine & appealed and won?? :help:

TIA,

Rosanna

Share this post


Link to post
Share on other sites

I did not know that you had to have a BMI of over 40 for all five years. I may not get approved either.

Share this post


Link to post
Share on other sites

Grrrr.. I am so angry. :fish:

I was told that I didn't have a BMI of 40 or more for 5 years. Which I knew I didn't. But I have had 40 BMI for the last 3 years and as they can see if they looked thru my past 5 years of medical records that I can lose but I can't keep the dern weight off.

So I will be appealing.

Anyone have a situation like mine & appealed and won?? :help:

TIA,

Rosanna

What did your doctors office say? I would call them because they deal with this all the time and know what to expect from your insurance. I have read a lot of posts on here about people getting denied the first time and winning on appeal. Hang in there, I can imagine how upset this makes you feel. I think of all things to be denied for that is a good one because at least they didnt say you dont need the surgery???

Keep us posted and ((((hugs))))) I am so sorry!

Share this post


Link to post
Share on other sites

<p>

Where is this medical center? Are you in Texas?
</p> <p> </p> <p>I live in San Antonio, Texas and think I may want the Lap Band proceedure. I have many questions to ask before I decided if it is right for me.</p> <p> </p> <p>How many years do I have to get fills and refills, where is the port of enterance after the surgery, how long am I vunerable to infections, can my lap-dog continue to sit on my arm chair and get up on the bed and could she could an infection? How do I control emotional eating, how do I control head hunger, how long do I have to be on liquids, doesn't my old stomach say it's empty and what happens to it after I have a new stomach? Also is there a support group in my city I can attend and how often? I just have so many questions!</p> <p> </p> <p>Alida</p>

Share this post


Link to post
Share on other sites

The Dr.'s office submitted my paper work at the end of Sept. and I still haven't heard anything yet .I was told it would take two months for approval .I don't know why it's takes so long . The healthier I am the more money the insurance is going to save.

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

    • 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.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 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

    ×