My BCBSIL story

[A. Stoot 85]

After thinking about it long and hard, I finally started my journey for revision from band to sleeve in June. I finished all my requirements which was a nutritionist and nut evaluation in July and after getting clearance from various Dr's about my results of blood, eco, fitness and EGD my paperwork was finally submitted to BCBSIL by my Dr office in August. I did have to constantly check the status with my Dr office and BCBS to make sure all was submitted and received, good thing to do because once BCBS received my paperwork, I was approved but it took days for the letter to get generated by the predetermination dept. I was told that it only takes 1 day for the letter to be sent out, so whatever the delay was, it led to really good customer service at BCBS. My rep was upset that I didn't get my letter the day it was supposed to be generated and she made sure to check daily for me and kept reminding the predetermination dept to send my letter ASAP. Today was finally that day, my Dr office received their copy and called me 1 hour after....my surgery is set for September 18.

[Summer Rain 245]

Congrats! I hope everything goes extremely well for you!

Summer

[A. Stoot 85]

Thank you Summer Rain

[Miss Mac 6,261]

BCBS Federal Employee Plan is the best insurance I have ever had.....ever. One thing that I like about it is the availability of a case manager to help handle processess and procedures. Any time I have some lingering health problem, like my knee replacements, stroke and now weight loss surgery, I accept the help of a case manager. She also checks up on me from time to time to see how I am doing. The other thing I like about it besides excellent coverage is that for my sleeve, BCBS approved a five day stay in the hospital if needed.

Any delays I had were from the bariaric clinic's side. When my packet was submitted, BCBS approved it in two days. I found out because when I called the doctor's office to see if it was submitted, I was told yes, but that they would not know anything for a couple of weeks because the insurance coodinator was on vacation. So.....I called my case manager at BCBS and she said it was already approved. The case manager mailed me a letter of confirmation whicj I then faxed to the surgeon's office. As soon as they received it, I was given a surgey date the same day. I am not as patient as I used to be and have become way more pro-active about my healthcare.

Good for you that you are staying on top of things. I wish you good luck and good health.

[A. Stoot 85]

Thanks Miss Mac

[Summer Rain 245]

....my surgery is set for September 18.

Good luck today! I hope everything goes well and you have a speedy recovery!

Summer

[Judyle 0]

Can I ask you guys what the name of your plan was for BCBS? And did you have to do a 3 or 6 month supervised diet before the surgery? Thanks

[A. Stoot 85]

Can I ask you guys what the name of your plan was for BCBS? And did you have to do a 3 or 6 month supervised diet before the surgery? Thanks

I have the PPO HSA plan, no supervised diet required

[Forsythia 882]

I'm not sure what my BCBS IL plan was, but I had a 6 month obligation to a diet. I do know I had a PPO. I've heard that the 6 month thing has been changed since I completed my program. Call them up and ask!

[Judyle 0]

A Soot, The PPO HSA plan you have; is it a gold, silver, platinum plan? Can I ask what the specific name of it is? Thanks!