Hi All,

I just wanted to share my experience with Anthem Blue Cross CA. My surgeon submitted the request to them on June 8. I called them on June 13, and it was still pending. On June 15, I looked up my plan documents, which clearly stated they have 5 business days to make a decision. So, I called them around 10AM on June 15. They stated it was still pending and that they believed that they had 15 days to make a decision, so I quoted them what my plan documents state, and gave them the page number it was on. They stated they would let the reviewer know, and I should call back later that afternoon. I called again about 2:45, and after being on hold for 20 minutes I was informed that it had been approved! Surgery is June 26!

Moral of the story, read the fine print of your insurance documents so you can advocate more effectively for yourself!

Did they accept your referral check up as your first weigh in or only the stuff labeled specifically as weigh ins with your surgeon?