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And we wait...for approval (BlueCross BlueShield PPO)!



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Im nervously awaiting a phone from my Dr's office regarding approval for surgery. This has been a very long 6 months. During this time I switched insurance so that adds a little extra worry. But I know God will give me the desires of my heart. So I'll wait and pray that I hear something soon. I would love to have surgery before the end of the year, but many have told me there's no way that would happen. I heard some dr's require a 2 week pre-op liquid diet and others said just 2 days pre-op liquid diet.

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I have BlueCross BlueShield and was notified I was approved via a letter and a call from my WLS coordinator. Good Luck

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My surgeons office submitted to BC/BS PPO for approval on Thursday (probably early Friday as my final visit of the 6 month supervised diet was at 4:00 PM). I called the following Monday to check and found out I was approved and I was. The surgeons office called Tuesday to see if I could be ready for the procedure the following Monday. OMG!!! My surgeon only had me on Clear liquids the day before since I was just getting sleeved and not bypass. From the moment I was approved everything has gone so fast and fallen right into place. 5 1/2 weeks later and I am down 28 pounds from my highest weight. Good Luck!

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I have BCBS as well and they waited the full 30 days to approve me. So frustrating!

I will be contacting the coordinator in the morning.... hoping for surgery before the months end.

My surgeon requires a two day Clear Liquids only diet.

Good Luck!!

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I had to wait almost 30 days with BCBS as well. But they are pretty good if you meet their criteria. Call them to check too.

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Here is my BCBS story: I really wanted my surgery pre-Christmas as my work has 2 weeks off at holiday time. Mentioned that several times to office coordinator so she said she would submit as soon as possible. My doctor's office submitted on Nov 21. I didn't hear anything for a few weeks so finally called BCBS myself and found out that they had approved it on the 24th, but the computer showed it hadn't been faxed/mailed yet to doctor/myself. So called doctor, said yada, yada, and she said, well, we haven't heard anything and I said well maybe you can call. She said I'll tell my assistant to check on Monday. So Monday came and went, and trying to be patient, but finally last Friday rolled around, and I called BCBS again, and STILL they had not sent it!! So I told THAT lady to send a message to the pre-determination department that day, to tell them I want that thing FAXED that day. She said she would. Then called doctors office to tell them it was coming..............we'll see. Anyway, during all this time waiting, my doc has filled up all his pre-Christmas time slots. So it will be early January. I told office that if a cancellation came up to let me know - I'm following the pre-op diet now anway, just in case.

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I have a date......DECEMBER 29TH!!!! My last dr's apt for my 6 month required diet was Dec 10th, was approved by insurance on Dec. 15th. Thanks BCBS for the quick turn around.

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Hello Ladies and Gentlemen,

Congratulations to everyone losing weight and keeping it off. I'm here to keep you aware of your insurance.

In 2009 a client of mine had the bypass surgery and was charged 120k. BC Anthem in California, paid 1,000 and said the rest was patient responsibility. She has a PPO plan and was approved. But because the best doctor she could find was out of network BC refused to pay the bill. She contacted us at networkpluscollections@gmail.com or at 424-226-6217 and BC paid the fair amount of the claim AND she was lift was no responsibility. If your PPO plan decides not to pay please contact us and get the best representation. Thank you for your time,

Kendra Harris

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