Jump to content
×
Are you looking for the BariatricPal Store? Go now!

10-20 surgery date



Recommended Posts

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?

Share this post


Link to post
Share on other sites

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?


Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.


Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.


Share this post


Link to post
Share on other sites

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 by Jerseygirl4523

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×