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Highmark BCBS approval timeline?



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I just had my FINAL 6-month weigh in, Monday and i'm down 49/50 lbs since i began! I could not be prouder of myself. I'm "slated" to have gastric bypass in mid- to late January and my surgeons office just submitted all my information to insurance yesterday (Tuesday). Anyone have Highmark BCBS of Pennsylvania that could give me a timeline of how long i'll hear if i'm approved? I'm so nervous waiting, i can barely sit still! I still have 2 pre-op appointments, one EGD procedure and an eco of my heart. I'm 90% there!

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Sorry, I don't have Highmark BSBC but I do have BCBS FEP and I know for me it was just a couple of days after I proved I had 6 months of supervised medical weight loss. Hopefully it won't take too long.

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I have highmark PPO and they submitted one day and called me with approval the next. ( in PA as well. Are you in Pittsburgh area?

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@@sherri~ i'm having my surgery in Pittsburgh, but i'm from the State College area. Mine was submitted Tuesday, but it hasn't show up as a 'claim' on Highmark's website. My surgeons office takes care of sending all paperwork to insurance, so i trust they sent it. I hope so anyway, haha

Have you already had your surgery?

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Yes I did 6 weeks ago. It's been pretty smooth all in all. If you're going through hope bariatrics I can vouch for their professionalism and expertise

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I'm going through Allegheny Health Network, i'll have my surgery at West Penn.

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@hannah_621 hey! yeah I'm in State College, are you also in the area? Are you pre-op or post-op?

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I'm pre-op currently! I used to work in state college for Mount Nittany. I live like 35 minutes away in a super small town closer to philipsburg. End up in state college all the time though!


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Small world, I'm from Clearfield originally! I work at Accuweather currently in State College.

But about surgery, haha. My date was Jan. 23rd and I had it done in Pitt. by an awesome surgeon. I'm about 8 weeks pre-op, everything seems to be going ok except it's so hard to poop! Haha and it's uncomfortable at times. I miss some foods though, carbs being a big one!

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That is a small world!!! I'm glad to hear everything is going well! I'm going through Geisinger currently and meet with the surgeon on 4/17. I can definitely see missing carbs! Do they have you taking any stool softeners or anything for that? I bet it's uncomfortable for sure.


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I know a lot of people who have gone to Geisinger for their sleeve or bypass and made out fantastic. But yeah, i just started taking stool softeners and it has helped a bit, but still the feeling of rocks in my stomach stays-which stinks. Any other questions you have, let me know! I'll answer em for ya!

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7 minutes ago, kristin16666 said:

Hi everyone i am from philipsburg area and having my surgery through geisinger i am going to my first appt. Tomorrow and am so excited just cant wait to start my new life!


Hi Kristin! That's who I'm going through! I just was cleared by everyone and have a little more weight to lose before seeing the surgeon! Good luck!! Please keep in touch and any questions I'll try to help with! It's a tough journey but worth it!! ☺️

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I'm going through Allegheny Health Network, i'll have my surgery at West Penn.

Is dr Eid your surgeon? I'm also going through AHN!


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