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Blue Cross Blue Shield of Georgia

My doctor sent my records to BCBS of Georgia last Monday (6/18). I called BCBS today to see if they had received them and if a decision had been made yet. They said that they just received them yesterday (6/25). When I asked how long it would take to get an answer, the gal stated that she did not know. They didn't even give me a rough timeline. So, will it be 5 days or 5 months? I wonder if they just take their time? I am going nuts here- wondering when I will get an answer. Does anyone out there have BCBS of Georgia? What were your experiences with them? Help!:confused:

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  • Lorsbander
    Lorsbander

    I just got off the phone with BCBS of Georgia. What a pain in the butt. My records were sent on 6/18. They stated they did not receive them until 6/25. I called them on 6/29 and they stated they d

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Lorsbander

I know exactly how you feel. I have BC&BS of IL. it took them just short of 4 weeks. They were real nice and even called me on my cell before the letter came. My other insurance (primary) UHC still has not replied and like yours has no idea when they might. Stay strong! Good luck to you keep us posted.

JP

  • 2 weeks later...
  • Author

I just got off the phone with BCBS of Georgia. What a pain in the butt. My records were sent on 6/18. They stated they did not receive them until 6/25. I called them on 6/29 and they stated they did not have all my paperwork yet. I called my doc and they called BCBS to see what was up. My insurance had forgotten to scan some of my record in. That makes me feel really wonderful! I called earlier this week and left them a message and they never called back. I called today and they stated it was put into their system yesterday!!! Now it may take up to 30 working days to get an approval! One of my online friends submitted her records to BCBS of Iowa the same day I did and was approved 4 days later. I told my insurance that I was upset. I am going crazy here. I have been working on this for 5-6 months. I thought I would be banded already. Now it looks more like September. I am usually a very patient person, but it is running thin.

I completely understand. This too shall pass and you will be dancing for joy!

  • Author

I am approved! I got the call this morning. I can hardly believe it! I am gonna be banded!!!!!!!!!!!!! It hasn't really sunk in yet. I am really in shock. It took so long that I had resigned myself to the fact that I was gonna be turned down. I am completely floored. Wow! I will most likely have surgery next month. It's overwhelming!

That's fantastic news. I know how excited you must be. I was approved a few weeks ago and I get more excited everyday. My surgery is August 2. If you're getting banded next month join us on the August Bandsters support thread. Good Luck!

I am approved! I got the call this morning. I can hardly believe it! I am gonna be banded!!!!!!!!!!!!! It hasn't really sunk in yet. I am really in shock. It took so long that I had resigned myself to the fact that I was gonna be turned down. I am completely floored. Wow! I will most likely have surgery next month. It's overwhelming!

Hey congrads on getting approved that is awesome I was actually wondering about your friend that had bcbs of iowa i have that insurance to i was wondering if you knew what are round about BMI was and does she have any co morbidties i'm getting nervous about whether or not they will approve me thanks for any info you can send my way it would help lots! ~Xgrl

  • Author

Hi Xgrl! My friend has a BMI in the mid 40's, I believe. She also has sleep apnea and few other co-moridities. I will e-mail her about this thread, as she is a regular at this site! She can tell ya for herself!

By the way, I have Dr. Glascock, too.

Hey congrads on getting approved that is awesome I was actually wondering about your friend that had bcbs of iowa i have that insurance to i was wondering if you knew what are round about BMI was and does she have any co morbidties i'm getting nervous about whether or not they will approve me thanks for any info you can send my way it would help lots! ~Xgrl

Xgrl I found out that I have sleep apnea and high cholesterol. My BMI was 46 when we submitted to the insurance and we only knew about the sleep apnea not the high cholesterol.

Dr Glascocks office submitted to insurance and I got the decision 3 days later. Do you have any co morbidities? I was told that bcbs is the easiest one to get this covered by. Good luck!!!

Anymore questions just ask.

i have BCBS of GA and have my consult on aug 2. what kind of documentation did they require? i do not have years of documentation showing that my weight is affecting my health.

  • Author

I know they do not require a doctor supervised diet. They want to see the last 3 years of your med record with failure to sustain weight loss. Just give them a call for the specifics. Once you turn in everything they want, it may take several weeks for approval.

  • 2 years later...

I am 24 years old 5' 6" and 259lbs. I am considering lap-band surgery. I have BCBS of Georgia insurance HMO open access. The booklet that came with my insurance says that it doesn't cover lap-band surgery. I was just wondering if your booklet said the same and if anyone can suggest a good doctor?:scared2:

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