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Waiting on Fep BCBS

KK711

By KK711, in Insurance & Financing

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KK711    6

KK711
Posted

Ugh! I hate the waiting process. My Surgeons office submitted for prior authorization yesterday 02/20/23. I realize it has only been a day lol but I am wondering how long you all waited to get approved by your Insurance?

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catwoman7    10,867

catwoman7
Posted

I think it was about two weeks for me.

KK711 reacted to this

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catwoman7    10,867

catwoman7
Posted

I think it was about two weeks for me.

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BabySpoons    531

BabySpoons
Posted

I was told by my bariatric team nurse that it's normally a two week wait, and they would call me at that point to set up my surgery date. BCBS approved me within a week. So, I was surprised when the hospital nurse called me with check in day instructions and found my surgeon had already scheduled my surgery in 10 days.

So what normally would have been a 2 week wait for approval, then a 2 week pre-op diet turned into a Fastrack to surgery. My liver shrinking diet was shortened because of it which was OK with me and obviously OK by my doctor.

Good luck!

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Spoole0902    1

Spoole0902
Posted

It was quick for me - less than a month from consult to operation. I did have a friend that it took her almost 6 months because she was required to go through mental evaluation, as well as dietician appointments and liver shrinking diet for several months before, so idk if it’s the insurance or the doctor that makes the difference once approved?

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ynotiniowa    13

ynotiniowa
Posted

I have Fep BCBS and it took about a day and a half. They filled on a Monday morning and I had an answer by end of business on Tuesday.

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KK711    6

KK711
Posted

Thanks guys. My first consultation was December 15th 2023 and I had all my other visits between then and February 15th. Completed all the things my Insurance wanted me to do which really ahs been easy and not much at all. I am thankful for such a great Insurance policy and I know it will be approved I am just so ready to start the process. My Surgeon does not set a date for surgery until the authorization comes through, understandable. I am hoping I can get this done in March.

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ChunkCat    675

ChunkCat
Posted

Yay for approval so fast!! You'll have a surgery date in no time!!

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Go To Topic Listing Insurance & Financing

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      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
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      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
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      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
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      · 0 replies
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    • BeanitoDiego

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      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
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      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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