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BCBSAZ

Hi fellow sleevers! I've been lurking since June and now for my first post. So I completed my insurance requirements today. My advocate told me the insurance approval paperwork would be submitted as soon as she received my NUT's report. That's the only document missing. She expects to get the report tomorrow (09/23).

You've probably had this question asked about a million times before -- but I did not see an answer for my insurance specifically so here goes: if you had BCBS of AZ how long did it take to get your approval? Of course I want to have my surgery yesterday.

Sent from my SM-T800 using the BariatricPal App

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  • I have BCBS of AZ. They submitted my paperwork on Friday and I got an email about 2 business days later. Really quick! I'm scheduled for 10/26! Sent from my SM-G920V using the BariatricPal App

  • healthyjen58
    healthyjen58

    I have BCBS NC, not AZ, but I was approved the same day my paperwork was submitted. Good Luck . Was another 4 weeks until surgery....having it Oct 3.

  • I have BCBS also and I'm wanting to move quickly. I live in Arizona, but it is a Home Depot Plan so I'm not sure how that works. I just want to be post-op as soon as possible! Sent from my KFTHWI u

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I have BCBS NC, not AZ, but I was approved the same day my paperwork was submitted. Good Luck . Was another 4 weeks until surgery....having it Oct 3.

  • Author

I have BCBS of AZ. They submitted my paperwork on Friday and I got an email about 2 business days later. Really quick! I'm scheduled for 10/26!

Sent from my SM-G920V using the BariatricPal App

That's good to hear. I'll start stalking my email about mid-week next week then. Will post when I hear something.

Sent from my SM-T800 using the BariatricPal App

  • 1 month later...
  • Author

Well I got a denial about 4 business days later. I was told I only had to do 8 weeks of supervised diet (I have the policy in writing). In the meantime, the policy was changed so when my request was filed they said I had not met the diet requirement of 6 months. Doctor's office said it has happened before and they were able to reverse the decision because the member had been told the same thing I had.

So my request is now under appeal and included in the appeal is the copy of the policy I was given. So I am hoping that works.

However I am getting tired of waiting and I also want to get it done this year because I have almost met my out-of-pocket max. I am afraid that insurance is just trying to wait me out so that I have to go to next year, when both my deductible and out-of-pocket are much higher. I will also have to repeat all the clearances because they will expire soon.

I want BCBSAZ to cover this just on principle but I am considering Mexico at this point.

Well I got a denial about 4 business days later. I was told I only had to do 8 weeks of supervised diet (I have the policy in writing). In the meantime, the policy was changed so when my request was filed they said I had not met the diet requirement of 6 months. Doctor's office said it has happened before and they were able to reverse the decision because the member had been told the same thing I had.

So my request is now under appeal and included in the appeal is the copy of the policy I was given. So I am hoping that works.

However I am getting tired of waiting and I also want to get it done this year because I have almost met my out-of-pocket max. I am afraid that insurance is just trying to wait me out so that I have to go to next year, when both my deductible and out-of-pocket are much higher. I will also have to repeat all the clearances because they will expire soon.

I want BCBSAZ to cover this just on principle but I am considering Mexico at this point.

Wow every policy is so different. Hopefully it goes through with the appeal!

Sent from my SM-G920V using the BariatricPal App

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