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Anyone get Approved in Illinois?

Flowerpurr

By Flowerpurr, in Insurance & Financing

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Flowerpurr    0

Flowerpurr
Posted

Hello,

I went to my suregon's office on Firday and he said it is hard to get approved in Illinois? Is this true? I have Aetan POS II and wanted to find out if anyone had a hard time getting approved.

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Onnie67    0

Onnie67
Posted

I am in IL...i have never heard this...what i have heard is it depends on your insurance...

:rolleyes: where are you having your surgery done at??

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ladybug97    0

ladybug97
Posted

I am in Illinois (Blue Cross/Blue Shield) and was approved the first time that my surgeon submitted the claim. I agree with the first poster...it really depends on the insurance plan.

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Flowerpurr    0

Flowerpurr
Posted

I am getting surgery done at Condell Hospital. I have Aetna and I have follwed their criteria to a T. How long did it take you to get approved once you submitted the paper work?

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Lauril    0

Lauril
Posted

Hello,

I also live in Lake County, IL. My Doctor (Denham) is out of Vernon Hills, but I had my surgery done at Glenbrook Hospital. I have Blue Cross Blue Shield HMO and I was approved quickly and easily in like 7 days from when the Doctor's office submitted the paperwork. I know Condell has been in the news recently about insurance partnership problems.... maybe it's more about the hospital then anything. Hang-in there, don't lose hope. I'm sure it's just slow paperwork........

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Onnie67    0

Onnie67
Posted

I am in the final stages for approval. 2 others in our local had their paperwork turned in and they were approved with in 2 weeks...

I am hoping it is the same for me!!!

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Flowerpurr    0

Flowerpurr
Posted

Well I hope to get approved that quickly. I have all my ducks in a row so I don't see why not. I am have Dr. Watson and Otto do my surgery. They are out of Condell. I am just waiting on my other Dr.'s to write letters.

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Catach    0

Catach
Posted

Bloomington Illinos I was approved by my doctor to start the 6 months process. Health Alliance makes you do a 6 month process and if you miss 2 appointment you have to start all over again and your only allow 1 restart. My insurance said all I needed was to be referred from the doctor.

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Tamihott    0

Tamihott
Posted

My first consult was with Dr Boe in Pa. He orginally practiced out of Chicago Il and relocated beacuse they had such a hard time getting their patients approved. He also stated that Illinois was very difficult to get approvals, but I see lots of people have. I got very discouraged though I live in Pa I have Bc/bs il. Good luck to us both. Tamara

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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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      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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