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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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Go To Topic Listing Insurance & Financing

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    • Alisa_S

      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

      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

        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.

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