Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Insurance Approval Jitters

doingitmyway

Recommended Posts

doingitmyway    87

doingitmyway
Posted

@@Kyn13 they told me 7-14 days...ugh feels like forever.

@@doingitmyway

When I go to the Blue Cross Blue Shield's website and click on my plan then down to authorization and referrals. That's where I find it.

@@doingitmyway Remember that each state has a different BCBS plan....just because a plan in one state has that feature on their website doesn't mean yours will.....that is unless you two are in the same state...... :-) However, you can always call customer service and check the status of your approval.....and if it's been submitted for over 5 business days I suggest you call to check....you may be pleasantly surprised. I retired from BCBS of Floirida in September after working there for 29 years....they don't mind you calling to check. Just call and tell them you want to check the status of your authorization...they will probably ask what the surgery is, who the surgeon is, and what facility it will be performed in....Good luck!!!

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

doingitmyway    87

doingitmyway
Posted

Thank you! I appreciate the information. My primary with BCBS does not cover vsg but my secondary which is state employees Florida BCBS does. Do they have to get a denial on my primary first even though it's not covered on the plan?

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

kmorri    1,689

kmorri
Posted

@@doingitmyway I don't believe so for the Auth request......once the claim is filed yes, the denial from the primary would need to come first.

Share this post

Link to post
Share on other sites

lasmith0802    67

lasmith0802
Posted

I was approved! Wow 4 days!

Share this post

Link to post
Share on other sites

Kyn13    215

Kyn13
Posted

So I had to drive an hr to my Dr just to pick up several pieces of paper work they forgot to send to the surgery center. The lady told me I should hear from the surgeons office by wed to make my final appointments before they can send off for approval. So I will hope see the surgeon and the nutritionist soon. Ready to get this over with.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

Share this post

Link to post
Share on other sites

doingitmyway    87

doingitmyway
Posted

That stinks! Hang in there. I have an appt with the dietician July 6 and a sleep study required by my dr before surgery tommorow night They submitted to the insurance company today. I am extremely nervous. I have invested so much time and effort into this. They said 2 weeks but they will call and get the status next Wednesday.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

lasmith0802    67

lasmith0802
Posted

I was approved! Wow 4 days!

Sent from my iPhone using the BariatricPal App

Wow! Congrats! What insurance do you have and what state?

Sent from my iPhone using the BariatricPal App

I have horizon BCNS NJ

Share this post

Link to post
Share on other sites

biglady904    65

biglady904
Posted

I've called my insurance 3 times since it was all submitted and each time I get a different time period. First it was 3-5 days then 7-10 days and today I was told 10-15 days and I'm just like wow I'm so ready to hear something !!!

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

lasmith0802    67

lasmith0802
Posted

I bet the waiting is the hardest part.

Share this post

Link to post
Share on other sites

donya4859    28

donya4859
Posted

I'm also waiting on insurance approval it is hard waiting. I'm so nervous that I'm not going to be approved. Hopefully I will here something by next week. Plus I'm hoping to get sleeved in the end of July or beginning of August.

Share this post

Link to post
Share on other sites

Kyn13    215

Kyn13
Posted

I'm also waiting on insurance approval it is hard waiting. I'm so nervous that I'm not going to be approved. Hopefully I will here something by next week. Plus I'm hoping to get sleeved in the end of July or beginning of August.

I'm right there with you, that's why I keep pushing so much for them to get stuff done, hell I even offered to drop my chart of at the surgeons office lol I'm also worried they won't approve me, it doesn't say they require any amount of weight loss prior to having it but I've only lost 11lbs. Keep my fingers crossed for you!!!!

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

Share this post

Link to post
Share on other sites

Shrinkinqtpi    202

Shrinkinqtpi
Posted

Me too! My case is in the hands of AETNA & the grace of God. One day at a time.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Clueless_girl

      Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 0 replies
      1. This update has no replies.
    • Mr.Kantos

      Mr.Kantos

      Just signed up. Feeling optimistic.
      · 0 replies
      1. This update has no replies.
    • Frugal

      Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×