Sorry but yes I have another insurance question

[Chris61 0]

It would nice to have it approved real quickly.A lot will depend on how fast they can get all the stuff together and sent in. I would talk to the doctors office. Also see if you can have them fax or offer to pay to have the stuff overnighted to the insurance company. Get a person who can approved it. There will be a lot of people going on Vacation for a couple of weeks right about that time. Also what has the doctors office said, is the doctor going to be on vacation? Maybe it would be better to plan to do it right after first of the year unless you have all ready meet your ded or have a lot of expenses. Just a thought. Good luck with it. I hope that the letter I forwared to you will also help.

Chris

[kaninag 35]

Yes, your letter was very helpful. I already have everything together needed for them to send in except my december visit to the weight loss doctor. They already have my h&p that the surgeon did, and my 3 years of weight loss.

I will def ask them to fax everything in...I didnt think about that.....oh and yeah after the first of the year my insurance changes instead of them paying 100% they will only pay 80% and plus i will have my ded. Thats why I REALLY want to get this done this year.

[kaninag 35]

The anticipation is killing me!!! I can finally submit my request for the surgery in 10 DAYS!! So, I call the surgeons office today to make sure they had everything..and was talking and she said yeah the surgeon could do the operation this month but that most likely BCBS wont approve it before the end of the year bc they know I will have to pay a deductible come January...and then I will also have to pay 20% this really bites!!!!!!!

[TracyinKS 7]

Good Luck! Try finding out if your surgeon even has an opening at that time, and explain to the scheduler that if at all possible you want to be scheduled before Jan 1, 2008.... even if it means you go on a cancelation list....... 20% is 20% and is worth the shot! After your doc submits call the 800 on your card and ask for the determination department and follow up with them, try and find out who will be assigned your case and then make sure they are not off for the holidays and politely STAY ON THEM!!!!!

GOOD LUCK!

[kaninag 35]

Yeah, I am scheduled for the surgery 12-27 if BCBS comes thru. I had planned on calling them 2-3 days after the submission. Thanks alot!!!

[kaninag 35]

Now my weight loss doctor is refusing to fill out my last form for my December visit. He filled out the other 5 months but wont fill out this last one....apparently he doesnt agree with the surgery...what the crap can he refuse to do that?? WHAT AM I SUPPOSED TO DO???? I mean I have been going there for 6 months...and all of a sudden he wants to be a jerk at the last minute...GGGGGGGrrrrrrrrrrrrrrrrrrrrrrrrrr:mad:

[Chris61 0]

Sorry to here about this set back. Did the doctor say why he will not fill out the form? Is it because you lost a lot of weight or what? Hard to image that he would have you go through all this and not approved. Is this your regular doctor or the lapband doctor? Have you tried to get back in and sit down and talk to him and explain how you feel about this and all the money, time, enegery and effort you have spent with this hole process. If you need any help we could start a letter campaign and hope that he will send it in for you.

Chris

[kaninag 35]

This is the weight loss doctor that I started seeing before I decided to have the lap band. But I decided to keep going there bc I had already started their program. He doesnt believe in gastric surgeries he said. But see he filled out the first 5 months of paperwork but wont fill out this last month. I asked the nurse well make me an appt so that I can see him she said the first she had available was 12-28 well HELLO I said right now I am tent. scheduled for surge 12-27 but they dont care...so I had my surgeon request my records and I hope that that will be good enough.

[kaninag 35]

Well, the time has finally come. I will take the rest of my info to the surgeons office today. They will fax everything to BCBS of Al tomorrow. I called BCBS and asked if they ever put rushes on approvals. And I explained everything to the lady--she just laughed and said that I needed to expect at least a 30 business day wait.......oh well.

[Ellisa 6]

Hope your approval comes in record time! Some people get them very quickly.

[kaninag 35]

I just called the surgeons office to make sure that we def had everything and she is actually submitting my request today...I am sooooo happy!!!:clap2:

[Ellisa 6]

Oh I hope you hear something soon! The waiting is the worst part of the process.

[kaninag 35]

Does anyone know another number to BCBS of Alabama besides the general customer service number? These ppl that I talked to yesterday dont seem to know what they're talking about. They said they have not received any of my paperwork. And then they said that it would need to be refaxed for medical review....which we did yesterday. How in the world did some of you get approved so quickly when I cant even get to talk to anyone that says they have even received my papers (which were faxed last thursday and yesterday.)

[Chris61 0]

I would suggest that you get a person name, phone number and fax number. Also get a complaint number that can be put on the fax and paper work. My wife and I had the same problem with United Health Care but once we had that the doctors office was able to resend and obtain approval. If you have any questions just e-mail me or ask on here.

Chris

[destiny79 0]

I had the same problem its two different dept. Customer Service and Care Coord. dept. and customer service can't see certain information, so I would said make sure you are contacting the correct dept. ask to be transfer to a Care Coord.