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BCBS Federal timing question



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My paperwork was submitted to BCBS FEP yesterday! Now the waiting begins.....

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I also have bcbs fep. I need to get my 10 year old band out because of slippage and dilated esophagus. Doc thinks they will approve revision at the same time. My bmi is 30 which is low for surgery but with my band I have gained back 30 pounds over the last year or so. I guess the way the doctor describes it to insurance they realize the cost effectiveness of revision. I have a 3 month wait. The doc said they haven't gotten denied yet for a case like mine so I'm keeping my fingers crossed. Its only been 2 weeks so I have lots of praying to do

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@@JustBeth13

I got my approval in just 3 days and the official letter came in the mail a week later. I was very lucky to have a proactive insurance coordinator. Scheduled for surgery May 26th and doing EGD this morning.

Good luck!

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less than 48 hours. good luck!!!

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Good for you scout mom!

I got a call from the insurance coordinator on Tuesday (6 days after submission) that BCBS wanted proof that I've had a BMI > 35 for at least 2 years (not a prob, since it's been since 1987) and saying they are not seeing the completion of the 3-month required diet. All of this is material the coordinator was sent and knew was req'd, so why it did't go in the first time, I don't know!

Back to waiting......

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@@JustBeth13

Hang in there!!! Stay active and be your own best advocate and you will do great!

Push the coordinator. Not all of them are pro-active or knowledgeable.

Thinking of you - I know this is the hard part!

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Thanks, scout mom. I have been discouraged - odd given that I was originally aiming for May 12 as the day my 3-month diet would be finished and paperwork could go to insurance. Somehow, moving it up got my hopes all up and then CRASH. When I had May 12 in my sights it didn't seem so far. Now it seems like I've been doing this "try to lose weight the old way that I've tried a million times before and not had much success with" FOREVER. Grrrr! This is such a mind game.

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@ JustBeth13 have you heard anything since your last post? I am going into surgery tomorrow.

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My oh my - approval came in and I'm on the schedule for June 2! Yikes - this is getting very, very real.

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How are you jane13??

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@@JustBeth13 - I am doing really well. I cannot complain. I have had no real issues (nausea, heartburn, etc). I hated waiting for the leak test - I was sooooo thirsty. Today is my first day back to work and I was so ready. I haven't been tired yet (I start my day at about 3:30 am) so I am very happy.

How are you doing?

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@@JustBeth13

Congrats on your surgery date in June!

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My surgery center told me it takes on average 3 weeks to hear back from insurance. I have BCBS Federal and you guys are making me so excited by seeing it took all of you less than a week for approval!!!!

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