Just got off the phone with my surgeons office. She submitted papers to insurance for approval on Monday and she say and still no answer I'm getting sick to my stomach over this I have anthem bcbs . is this a normal wait time?

Just got off the phone with my surgeons office. She submitted papers to insurance for approval on Monday and she say and still no answer I'm getting sick to my stomach over this I have anthem bcbs . is this a normal wait time?

It took 10 days for my approval. There are some people that had to wait 3 month. But accord to my insurance 5 days is the turn around time but they have up to 15 days to respond. BTW I have Aetna.

Please keep us posted, I have to confirm with the office but mine is supposed to get submitted this week and I’m wondering how long the turnaround will take.

Please keep us posted, I have to confirm with the office but mine is supposed to get submitted this week and I’m wondering how long the turnaround will take.

PS I have Anthem too.

On 10/22/2017 at 3:40 PM, BMC blogger said:

PS I have Anthem too.

how long did it take for you? I have anthem and i am supposed to finish my 6 months up in a couple weeks. Otherwise, i'm all ready to submit

I have Anthem BCBS too and am scheduled to meet with a doc tomorrow to start my 6mo supervised diet.

Does anyone know, if after 6mo required supervised diet my BMI drops below 40, am I going to get denied for surgery?

I spoke with an Anthem rep today and he said to ask my doctor, because he is “not qualified to make decisions on what is medically necessary”. I told him obviously, but it is up to the insurance to determine coverage, not the doc. He said he would have someone contact me tomorrow.

Sorry for the long post, just wondering what others experience is.

7 hours ago, annaisbananas said:

I have Anthem BCBS too and am scheduled to meet with a doc tomorrow to start my 6mo supervised diet.

Does anyone know, if after 6mo required supervised diet my BMI drops below 40, am I going to get denied for surgery?

I spoke with an Anthem rep today and he said to ask my doctor, because he is “not qualified to make decisions on what is medically necessary”. I told him obviously, but it is up to the insurance to determine coverage, not the doc. He said he would have someone contact me tomorrow.

Sorry for the long post, just wondering what others experience is.

I had the same question. My surgeon’s Office say they go by your starting weight at your initial appointment. I’ve had similar problems when calling Anthem to try and get an answer. Try the nurse hotline, they seem more helpful

Edited March 22, 20188 yr by Jerseygirl4523