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

Anthem BCBS Appeal



Recommended Posts

I did not have sleep apnea... yet. Had a study done about 10 years ago that was "inconclusive". I was not required to attend NUT classes, but our Bariatric Care Center offers free twice-monthly support group meetings with the staff Nutritionist and monthly info mtgs with the surgeon. I voluntarily attended these for almost a year, just to learn as much as I could. At the end of the 6 mo dr-supervised wt loss requirement, BCBS issued a "certification" that was valid for 13 months.

Sent from my SAMSUNG-SM-G930A using the BariatricPal App

Share this post


Link to post
Share on other sites

I'm going through the same thing with BCBSIL, I'm in the 30 day waiting period too. They don't want to cover a revision due to severe GERD or my hernia repair.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

@@middlebeaver what did you put to. Finally have them approve? Because they are not wanting to budge for nothing.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Unfortunately if they deem it not medically necessary, especially a revision, they won't approve. I'm sorry I went through this 2 years ago. They won't cover 2 procedures at all. It's listed under the qualifications for the surgery

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

My insurance (UHC) denied me "medically unnecessary".... I did the Appeal myself before the surgeons even got word that I was denied!! On the last week (of the 30days) I called back to find I was approved!!! Yaaaaay!!

Got my surgery date today!!! It's gonna be 11/21/16! Can't wait!!!

For ANYONE who got denied or is on their way....you are correct ...the only thing you can do is: Fight, fight, fight!!!!

Sent from m

post-302086-14761502422203_thumb.jpg

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

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 4 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

      4. AmberFL

        How are you doing? any update?!

  • 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

    ×