Insurance approval

samniccc · April 22, 2017

Hey guys! First time posting here but I'm just kind of curious, I have BCBS Michigan, I was wondering if anyone else has the same insurance and how long it took for your approval? Even if you don't have the same insurance I'd still love to hear! I just got done with all insurance requirements, everything has been sent and now it's up to them! The nerves have officially set it. Thanks for reading

Kierajay · April 23, 2017

I have BCBS (NORTH CAROLINA) and I had Aetna last year so when I was going through the program with atena I only had to 6 months. However Aetna had dropped out of the affordable Health care & BCBSNC was the only one available but to make a long story short BCBSNC required 12 months but the provider I was going through said that if I could get info on everything I did before like info about what doctors I talked to about my weight & what they prescribed like toprimate & phetermine and things like that I can get approved before and would not have to do another 7 months (which I cried & prayed that I wouldn't have too!!) so one day I went driving and to my primary care doctor and talked to him about a letter of recommendation with all my medical records and sent it back to the office all I can say is I love them(BCBSNC) because they approved me right when I was leaving the doctor from my endoscopy I just had the bypass 3 weeks ago. I believe if you have information before you started the program it will count as if you did 12 months.

Good LUCK! [emoji1474] it's going to happen before you know it [emoji847]

chryss · April 23, 2017

I have BLBC and I see my surgeon on Wednesday this week and then they are submitting my claim. I will let you know!

samniccc · April 23, 2017

I have BLBC and I see my surgeon on Wednesday this week and then they are submitting my claim. I will let you know!

Thanks so much! Best of luck.

samniccc · April 23, 2017

I have BCBS (NORTH CAROLINA) and I had Aetna last year so when I was going through the program with atena I only had to 6 months. However Aetna had dropped out of the affordable Health care & BCBSNC was the only one available but to make a long story short BCBSNC required 12 months but the provider I was going through said that if I could get info on everything I did before like info about what doctors I talked to about my weight & what they prescribed like toprimate & phetermine and things like that I can get approved before and would not have to do another 7 months (which I cried & prayed that I wouldn't have too!!) so one day I went driving and to my primary care doctor and talked to him about a letter of recommendation with all my medical records and sent it back to the office all I can say is I love them(BCBSNC) because they approved me right when I was leaving the doctor from my endoscopy I just had the bypass 3 weeks ago. I believe if you have information before you started the program it will count as if you did 12 months.
Good LUCK! [emoji1474] it's going to happen before you know it [emoji847]

Thanks for the info! Congrats on the surgery & best of luck to you [emoji173]

briski · April 24, 2017

I have BCBS of MI too. My consultation with the surgeon is May 9th so I can't actually answer your question, but I read somewhere that they don't actually formally approve the surgery. They just tell the surgeon's office what the requirements are and it's up to them to make sure you meet them. I'm not for sure about this though. Where are you at in the process?

samniccc · April 24, 2017

I have BCBS of MI too. My consultation with the surgeon is May 9th so I can't actually answer your question, but I read somewhere that they don't actually formally approve the surgery. They just tell the surgeon's office what the requirements are and it's up to them to make sure you meet them. I'm not for sure about this though. Where are you at in the process?

I have completed all of the requirements and everything has been sent to insurance. Just waiting on the approval and then I'll see my surgeon for a surgery date. The insurance coordinator told me i would have an answer in 10-14 days.

briski · May 7, 2017

I have completed all of the requirements and everything has been sent to insurance. Just waiting on the approval and then I'll see my surgeon for a surgery date. The insurance coordinator told me i would have an answer in 10-14 days.

Any word yet?

Sent from my Z981 using BariatricPal mobile app

Kierajay · May 7, 2017

Do you know anything yet??? I am so praying you do[emoji177][emoji844]

chryss · May 7, 2017

Hey there! My hospital officially submitted on Wednesday at 2:00 pm. My insurance called me on Friday at noon to tell me I was approved!!! So less than 2 days!

Kierajay · May 7, 2017

Hey there! My hospital officially submitted on Wednesday at 2:00 pm. My insurance called me on Friday at noon to tell me I was approved!!! So less than 2 days!

YEAAAAHHHH[emoji1494][emoji1494][emoji1494][emoji1494][emoji1494][emoji1494][emoji133][emoji133][emoji133][emoji133] congrats [emoji322][emoji322]What are you having the bypass or sleeve?

chryss · May 7, 2017

I'm going for bypass! I was originally going to get the sleeve but found out that my severe GERD would be unbearable with the sleeve. I'm very excited! What did you get Keirajay? How are you doing?