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Approvals with BCBS Federal

rln52

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

It's page 63post-135979-14380321309924_thumb.jpg post-135979-14380321409021_thumb.jpg

I have Basic.

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

If I were you I would call benefits service yourself. I know the insurance coordinators deal with so many different insurances that it could be easier for them to confuse. I have little faith in the one at my drs office. I have emailed her twice no response. Also I knew what the requirements were prior to her allowing me to make my 1st NUT appointment, holding me up a whole month!

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

That is great you were approved, but horrible of the doctor to not tell you themselves!

Can I ask if you have any co-morbidities? I only have the sleep apnea, and history of being overweight, but my BMI is only 38.

My paperwork was submitted to BCBS Fep on June 22nd. My Doctors office called and told me that BCBS is now requiring 4 nutritional visits. I went to the additional visit on July14th. I still hadn't heard anything form my doctors office on the 24th so I decided to call the insurance company myself. I was told that my surgery was approved on July 20th. The approval was for 184 days, so I have until January 20th 2016 to have the procedure done. I started my journey in April of 2015 and I'm not quite sure why the doctors office hasn't notified me that I;ve been approved so I can get a surgery date. I'm going to call them in the morning.
[/quote

You should be fine with BMI of 38 with comorbities

Gastricrestrictiveprocedures,gastricmalabsorptive procedures, and combination restrictive and malabsorptive procedures to treat morbid obesity – a condition in which an individual has a Body Mass Index (BMI) of 40 or more, or an individual with a BMI of 35 or more with one or more co- morbidities; eligible members must be age 18 or over

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rln52    136

rln52
Posted

I have basic and still waiting. I am on preop diet so I am calling BCBS everyday in the afternoon to ask.

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rln52    136

rln52
Posted

Just called BCBS Federal and I was APPROVED!!!! Wow that was a long wait but so worth it. The approval was done on July 21st so there must be a lag time from the time the decision is made to the time it is entered into the system. Yesterday this was not there and they had not mailed out an approval letter.

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liltextornados2015    4

liltextornados2015
Posted

Wow very happy for u!!!! ???????????????????????????????????????????? glad u finally got ur approval... Now mine.. Lol.. How many days from ur paperwork being submitted to now?? Wondering.. The rep told me she would call me back lol.. So i wouldnt have to call. Lol.

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

That is awesome! Congratulations!!

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nomoremeds    27

nomoremeds
Posted

That's great! I hope we can all get surgery dates around the same time.

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rln52    136

rln52
Posted

I just called yesterday and basically told the girl I would call everyday this week. All of the reps have been very nice and helpful. My paperwork was submitted on July 3 and the approval was nade on July 21st and it was only posted today. Good luck hope you get your approval very soon.

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nomoremeds    27

nomoremeds
Posted

I just called the doctors office to see if I could get a surgery date and they told me that they haven't received approval from blue cross even though I called blue cross blue shield 9 days ago and was told I was approved on July 20th. So frustrating.

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ASUgrad    61

ASUgrad
Posted

Some people were getting approve very quickly... but as of lately I'm seeing that it's taking double the time as it was before!

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Oklahomagirl1970    4

Oklahomagirl1970
Posted

I have bcbs federal, they required a psyche evaluation, 3 months of records from doctor showing I tried to lose weight and nutrition evaluation. I have sleep apnea and diabetic and they approved mine in a week. Getting lap band next Thursday:)

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rln52    136

rln52
Posted

Nomoremeds

My doctor's coordinator told me she was going to call after we hung up to get the approval faxed to her. So this must be an option for the doctor's office.

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