Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Surgery soon - approval time

Hello! I am coming up on the submission of my paperwork to insurance (BCBS) - so in essence I've jumped through every hoop they've thrown at me, three month dietary counseling, psych clearance, pulmonary and cardio clearance, EGD, the whole nine - the only thing left for me to do is go to the informational class about surgery, pre- and post-op stuff, and then they will submit the same day, Sept. 24. I've been looking on the forums to try to get an answer to how long approval can take when I came across a young lady who said her approval took six months because she has little to no health problems and she is young. I have been worried about this - my BMI just barely clears the 40 point mark, I have no co-morbid conditions and I am (relatively) young at 36. Other than that, most people with BCBS said their approvals took, on average, about a week. Did anyone have the same situation as me going in and if so, how long did your approval take? I have been concerned that they will deny my claim because I feel they will think that I should be able to do it on my own since I barely meet the requirements and I'm not sick.

  • Replies 22
  • Views 1.9k
  • Created
  • Last Reply

Top Posters In This Topic

Most Popular Posts

  • I have bcbs federal. I'm 25 with a bmi of 43 and was approved in one week. I was worried also because I have no co-morbities and am fairly healthy but they approved me. I just scheduled my surgery

  • sandralck1994
    sandralck1994

    I have bcbs I am 39 with a bmi of 49 and 5' 1" with no major health issues they made me do 6 months supervised weightloss I did not lose much at all I was up and down and insurance approval took less

  • jasminebsn3
    jasminebsn3

    GOOD LUCK!

Featured Replies

I have bcbs. Submitted yesterday. Will keep you posted. I haven't had to jump thru any hoops yet. Lol

I have bcbs federal. I'm 25 with a bmi of 43 and was approved in one week. I was worried also because I have no co-morbities and am fairly healthy but they approved me. I just scheduled my surgery and am excited/nervous. Good Luck and keep us posted!!!

I have bcbs I am 39 with a bmi of 49 and 5' 1" with no major health issues they made me do 6 months supervised weightloss I did not lose much at all I was up and down and insurance approval took less than a week.

I have Anthem BCBS and it only took a day for my approval once they got all the right paperwork submitted to them. I'm older (mid 50s) and have a couple of comorbidities, but I don't think that mattered as much as them having all the info correct and that I met all their requirements before things were submitted.

If your doctor submitted documentation that you have tried traditional dieting programs and were not successful in keeping the weight off, then your age really shouldn't matter.

  • 2 weeks later...

I got approved in 1 week. Doc didn't submit til 25 Sept. Bcbs federal standard....now I'm waiting for date but according to ins company it wont be til Dec 3rd. That's my auth effective date. :(

I have Anthem BCBS and it only took a day for my approval once they got all the right paperwork submitted to them. I'm older (mid 50s) and have a couple of comorbidities, but I don't think that mattered as much as them having all the info correct and that I met all their requirements before things were submitted.

If your doctor submitted documentation that you have tried traditional dieting programs and were not successful in keeping the weight off, then your age really shouldn't matter.

Did they ask you for 8 years of your past weight?

Did they ask you for 8 years of your past weight?

They didn't ask me my past weight at all. My PCP just had to put in a letter that I had tried other weight loss programs and was not able to maintain a healthy weight. My surgeon's practice gave him a sample letter as a guide and he used it almost exactly, just changing my name and a couple of minor details. Guess they have that part down to a science. :-) I do think it a lot of it is about the wording and knowing what specific wording your particular insurance company is looking for to meet their requirements.

Finally my last report was sent into my Doctor. Now approval time! Nervous, scared and excited all at the same time :)

GOOD LUCK!

My doctors help me get approved within two weeks. So far no problems. Meet with h I m again in Nov to set surgery date.

  • 2 weeks later...

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.