Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance Approval Jitters



Recommended Posts

I have Florida BCBS. I have a BMI of 35-36 and hypertension. I have done the 3 months of appointments and it's time to submit to insurance. My Bariatric group seems confident everything is find but I am nervous. I know they do this all the time. Anyone have any encouragement?

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I hope it goes well for you.......Hypertension is sometimes a tough one. I've heard that sometimes the insurance company requires that to control it you have to be on 2 or more medications...........But I'm sure the team you're working with is used to working with them so hopefully all will go fine. Let us know once to hear back.

Share this post


Link to post
Share on other sites

I have Florida BCBS. I have a BMI of 35-36 and hypertension. I have done the 3 months of appointments and it's time to submit to insurance. My Bariatric group seems confident everything is find but I am nervous. I know they do this all the time. Anyone have any encouragement?

Sent from my iPhone using the BariatricPal App

Hey I'm in the same boat as you, I have UHC. I just completed my required 6 months of monitored weight loss with my pcp. I have a bmi of 64. According to paperwork as long as my bmi is over 40 I don't have to have any comorbidities but I was also just told I have severe sleep apnea. My last appointment was the 16th, my Dr was supposed to fax everything to the surgeon office so they can submit it to insurance. I'm hoping it was all done by end of day friday. I plan on calling them Monday and seeing if they sent it in yet. I was told it could take up to 15 days for approval. Waiting is the worst part. And I'm sure I'm probably over thinking and worrying a bit much but I can't help but wonder what if they don't approve my surgery. Good luck on ur end, I look forward to hearing how it goes and when urs gets approved!!!

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

Share this post


Link to post
Share on other sites

Thank you. Since your BMI is over 40, I feel like you will have no worries. Prayers for us both for smooth sailing. I have invested so much time in this process I think I will be crushed.

Sent from my iPhone using the BariatricPal App

I completely understand, this is my second time having to go through this the first time I lost my insurance as I was in my 5th month it sucked. I'll 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

So I just found out that my paperwork still hasn't been submitted to insurance :( it was just barely sent to the surgery center who will then send in it to insurance. She said she got it and will call me tomorrow to go over it all. Is it just me or is it soooo hard to wait??? Have you heard anything back yet?

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

Share this post


Link to post
Share on other sites

I feel you'r waiting pain... I had my last weigh in on June 15. My paper work was submitted on the 19th and now I'm playing the waiting game... I check BCBS web site 4 times a day!

Share this post


Link to post
Share on other sites

I feel you'r waiting pain... I had my last weigh in on June 15. My paper work was submitted on the 19th and now I'm playing the waiting game... I check BCBS web site 4 times a day!

At least you have a website to check no one has said anything to me about UHC having anything like that. But Gl hopefully ull get good news soon. Did they say how long they have to approve you?

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

Share this post


Link to post
Share on other sites

I feel you'r waiting pain... I had my last weigh in on June 15. My paper work was submitted on the 19th and now I'm playing the waiting game... I check BCBS web site 4 times a day!

At least you have a website to check no one has said anything to me about UHC having anything like that. But Gl hopefully ull get good news soon. Did they say how long they have to approve you?

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

Sent from my iPhone using the BariatricPal App

Good luck. Praying we all get great news!

Sent from my iPhone using the BariatricPal App

I feel you'r waiting pain... I had my last weigh in on June 15. My paper work was submitted on the 19th and now I'm playing the waiting game... I check BCBS web site 4 times a day!

Sent from my iPhone using the BariatricPal App

I have BCBS but didn't realize ypu could check website for authorizations.

Sent from my iPhone using the BariatricPal App

I called my insurance yesterday and she said they just got it last Thursday and that it takes 7-10 business days I'm so nervous

Sent from my iPhone using the BariatricPal App

Sent from my iPhone using the BariatricPal App

Praying that you get good news and soon. You are right, so hard to wait!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

@@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.

Share this post


Link to post
Share on other sites

@@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!!!

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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

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

      2. NickelChip

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

      3. BabySpoons

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

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 1 reply
      1. kezbeth

        I may have to have gall bladder surgery during my weight loss surgery. Not thrilled about it either but do not want 2 recovery times. Just want it over with.

        Thanks for your post. I may need to rethink my decision... :(

  • 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

    ×