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Anyone with BC/BS Illinois ever approved??

Tamihott

By Tamihott, in Insurance & Financing

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*slim*    2

*slim*
Posted

Way to go! I am glad that you were finally approved. I can only hope that I don't have to go through multiple denials. I have been calling them everyday. I have also been emailing them daily. I am not letting up. How exactly do you get in touch with Obesity Law if you need them?

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*slim*    2

*slim*
Posted

It is obesitylaw.com. Just go on and you can either email or give them a call.

Good -Luck!

Thanks for the info. I can only hope that I never actually have to use it.

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KawasakiChick    0

KawasakiChick
Posted

I got approved!!!!!!!:crying::thumbup::wink2::thumbup:

That is awesome!!! And that was really quick! :wub: Congrats!!

I hope mine is that quick and that I get some good news. I decided to call yesterday but it hadn't been reviewed and they told me that it usually takes 7-10 days. I'll letcha know what I hear, but best of luck with your surgery!!

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*slim*    2

*slim*
Posted

That is awesome!!! And that was really quick! :thumbup: Congrats!!

I hope mine is that quick and that I get some good news. I decided to call yesterday but it hadn't been reviewed and they told me that it usually takes 7-10 days. I'll letcha know what I hear, but best of luck with your surgery!!

I called everyday. I think they finally got tired of hearing from me. I got my surgery date today!

Good luck to you too. I hope you hear something soon!

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GinaJ    2

GinaJ
Posted

I got approved!!!!!!!:thumbup::thumbup::mellow::thumbup:

Woo Hoo!!! I am so glad you didn't have to go through all the bs to get it. Let us know when you have a date. CONGRATULATIONS!!!:cool2:

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BABY-LYN    9

BABY-LYN
Posted

Help! My paperwork was faxed to Empire-BCBS on the 20th. I called on the 26th to check on the status and was told that its was on the medical review desk. this morning i get a call from them that i was denied. because my BMI is 38.5 and i have no uncontrolled comorbilities. I have high blood pressure which is curently being controlled by medicine and relaxation technics ( this month that is).

she said that i could - call to have it recinsdidered, have a peer reivew or appeal. I don't know what the reconsideration or peer reiview intells? can anybody give me any info??

i have called my surgeon's office but they are not always good about returning phone calls and BCBS said i had 10 business days to take action.

My doctor's office also said that we only had 3 appeals and i would hate use them with not knowing what i needed to do.

any advice???

My family history has strokes, high blood pressure and congestive heart failure for both of my parents. i don't want to end up like they have.

or do i just try to gain the 10 to 15 lbs that i would have to have to met the BMI of 40? and if i do that would that flag something with BCBS?

or are they just trying to see if i'll give up?

they didn't say anything about having to have a BMI of 40 when i called to see what the requirements were.

I'm not giving up if that's what they think saying no will do!!

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GinaJ    2

GinaJ
Posted

You are right, they just want you to give up. If I were you, I would have your surgeon request a peer to peer. If it is still denied you could contact Obesity Law at www.obesitylaw.com, and let them handle it. That is who I used. You can go online and fill out a form and they will contact you and tell you what your options are.

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*slim*    2

*slim*
Posted

Woo Hoo!!! I am so glad you didn't have to go through all the bs to get it. Let us know when you have a date. CONGRATULATIONS!!!:rolleyes:

10/2/08!!! WOOHOO!:biggrin:

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KawasakiChick    0

KawasakiChick
Posted

Ughhhh,

After two denials, I am now working on it yet again with BCBSIL. I am so aggravated and I almost feel like just giving up. I was denied the first time because "I didn't include my 6 months preop diet"....even though I pointed out that it was on pages 21 and up. So they reconsidered after I resent it....then I was denied on 8/28/08 because my diet info was "limited"...this is really getting to me. It's now September 16th and I am just coming around to dealing with it bc getting two denials has been so disheartening. I am having my doctor rewrite my six months, but this is just ridiculous. I just want to be thin and healthy.....:rolleyes:

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Tamihott    0

Tamihott
Posted

You can do it! I have been working on this since 11/07 and will be banded tomorrow with BC/BS Illinois. They have been on a roll with approvals you just have to be a pain in their butts and call everyday. Good luck! Tamara

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GinaJ    2

GinaJ
Posted

Ughhhh,

After two denials, I am now working on it yet again with BCBSIL. I am so aggravated and I almost feel like just giving up. I was denied the first time because "I didn't include my 6 months preop diet"....even though I pointed out that it was on pages 21 and up. So they reconsidered after I resent it....then I was denied on 8/28/08 because my diet info was "limited"...this is really getting to me. It's now September 16th and I am just coming around to dealing with it bc getting two denials has been so disheartening. I am having my doctor rewrite my six months, but this is just ridiculous. I just want to be thin and healthy.....:)

Contact ObesityLaw @ www.obesitylaw.com, and they may be able to help. If you qualify, they can direct you to on how to get their help for free.

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