I'm starting the appeal process myself, but I'm praying to have this surgery before the end of the year!

Anyone else not approved yet but hoping for this year? What stage are you at?

23 hours ago, Wickedwinner said:

Just got scheduled for pre-op surgeon appointment on Dec 11 after which they will set my date. Should be before Dec 31. I think I’m going to go ahead a start the pre-op diet in the hopes of getting in sooner. If they have any cancellations I’ll be ready to go.

That's a good idea! I'm on my drs preop diet because his is just a low carb diet under 40 grams a day, I always est under 25 a day anyway so no big deal here. My peer to peer k scheduled 11/21

3 hours ago, ekstone86 said:

Me! They sent the approval letter off this week and I'm hoping to hear back in the next few weeks. My PCP and surgeon are all trying to get me in this year. *fingers crossed* for all of us!

You have an approval? Have them send it to you electronically or to your insurance portal and then send it to your surgeons office. They are so slow, do the leg work for them

17 hours ago, OlRachel said:

You have an approval? Have them send it to you electronically or to your insurance portal and then send it to your surgeons office. They are so slow, do the leg work for them

My insurance already has it in my chart as in progress and they say to expect 5-10 days. I'm hoping that Thanksgiving doesn't delay me!

I'm starting the appeal process myself, but I'm praying to have this surgery before the end of the year!

Anyone else not approved yet but hoping for this year? What stage are you at?

I'm starting the appeal process myself, but I'm praying to have this surgery before the end of the year!

Anyone else not approved yet but hoping for this year? What stage are you at?

I have another psychological visit and have to have an Egd and then I see the surgeon.

I'm starting the appeal process myself, but I'm praying to have this surgery before the end of the year!

Anyone else not approved yet but hoping for this year? What stage are you at?

I have one more psychological visit and have to have an egd and then I see the surgeon.

Me!!!!! My last 6-month appointment is November 20 and then I have completed everything in my check list :-) I'm really hoping for a December surgery

My surgeons office supposedly sent all the required paperwork to Blue Sheild on 11-16 but If i get denied then it will be a tight squeeze to get an appeal and scheduled for surgery before the end of the year. Which for me is critical because I turn 26 on Dec 26 and then will have a new insurance and would have to start the process all over

5 hours ago, gym&tonic said:

My surgeons office supposedly sent all the required paperwork to Blue Sheild on 11-16 but If i get denied then it will be a tight squeeze to get an appeal and scheduled for surgery before the end of the year. Which for me is critical because I turn 26 on Dec 26 and then will have a new insurance and would have to start the process all over

My suggestion is to keep calling insruance everyday. Dont wait for your office to get the call or the letter. I still havent gotten my denial letter in the mail but I called everyday so I knee right away and we have already scheduled peer to peer

Thank you so much for the info! Im on the phone with them right now checking in

What is a peer to peer appointment? I haven’t been informed of this and am just curious. Hope you get in by the year end! :)

I was told when I called they called my insurance and it would be covered. I have my first appointment for consult tomorrow for LB. I’m trying to get it quick because it’s so cheap since I’ve used my deductible already lol. After the first of the year it will be tons more

3 hours ago, gym&tonic said:

Thank you so much for the info! Im on the phone with them right now checking in

What'd you hear?

2 hours ago, DanieHall said:

What is a peer to peer appointment? I haven’t been informed of this and am just curious. Hope you get in by the year end!

Mine is a peer to peer apt on weds

8 hours ago, OlRachel said:

What'd you hear?

So after calling the Dr office and them telling me they did everything on their end and it was all submitted, I called Blue Shield and of course they said they didn't see anything submitted but weren't sure so they left a message at my Dr's office. Heard nothing back from either of them and called BS again.... couldn't even understand the women. Called a couple hours later, and third time was the charm! The guy was able to tell me that my Dr's office just submitted in the early afternoon today (glad I called to remind them) and he looked over all the papers they sent in to make sure everything on the check list was completed. Super nice guy. Said I should hear back in about 72 Hours! Im hoping Ill hear something Wednesday before Thanksgiving but Ill be on their butt Wednesday regardless haha.

My insurance coordinator did tell me that my 'tentative' surgery date is December 20th. Which is great but if approved I would be open to something sooner.

72 hours in unheard of. Mine took 13 days and they wanted more information, sent that in then 8 more days to say no. I sure hope its that soon for you though