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Got approved today!!!

It has been awhile since my first post months ago. I started this process in June and after a bunch of crap from the insurance BCBS of GA I am finally approved. It took 2 and a half months from the day my paperwork was sent in for me to get the call this morning saying I am approved. WOW!!! I had just about given up hope.

I just wanted to share my exciting news!!!

Will probably be getting banded on November 3rd. So woo hoo!!! Thanks for letter me share.:lol::biggrin::eek:

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It has been awhile since my first post months ago. I started this process in June and after a bunch of crap from the insurance BCBS of GA I am finally approved. It took 2 and a half months from the day my paperwork was sent in for me to get the call this morning saying I am approved. WOW!!! I had just about given up hope.

I just wanted to share my exciting news!!!

Will probably be getting banded on November 3rd. So woo hoo!!! Thanks for letter me share.:confused::):blink:

Hi, I am new to this . I started the process on Aug. 12, 2008 I am also with bc/bs of ga. What problems did u have with the insurance co. The doctor office has not sent my approval request in yet. my bmi is 40.7 now. with sleep apnea and joint pains in the leg, any info u have i would appreciate. thxs

  • Author

Hello there when my surgeons office first sent in the paperwork, BCBS for about two weeks denied receiving anything. Then they said she was sending it to the wrong fax # then when they gave her the right fax # they waited about another week to tell us they only received half the package. So she resent it again for the 3rd time and they finally acknowledged they received it. So after about two weeks of calling and bugging them they told us that I was denied for BS reasons. Then the next day I received the denial letter saying again BS stuff that I was supposed to sign a wavier knowing all the risks and that I did not have a psych eval which I did. And the funniest one was that they said the surgeons office did not specify which procedure I wanted LOL when right at the top of the letter it had the insurance code for Lap Band and it also said lap band right on it.

So finally my surgeon got on the phone with the medical director at BCBS and said that all they needed was a letter from my PCP saying I was a good candidate for the lap band then finally about two weeks later I got the call yesterday saying I was approved.

I had to have a psych eval, nutritionist consult, a check up with my PCP who ordered blood work a chest x ray and a echo gram. My bmi is at 47 I have high blood pressure and high cholesterol.

Let me know if there is anything else you want to know and good luck on your journey. :)

  • 3 weeks later...

I am just reading this and I also have bcbs of GA my paperwork was faxed to them yesterday but they didn't get it yet but have notes in their system that someone from the Dr office called and they gave them a fax # to send it to and that was this AM. I hope I don't get this run around. My BMI is 43. I am praying for a fast approval. I did't have to do the 6 months diet but my PCP doc was sure I needed it so I've wasted so much time already. Ugh I am hoping for a November surgery date!

  • Author

The best advice I can give is call twice week and make sure your surgeons office is doing the same. Be persistant and don't give up. I got a denial letter. NOw I am scheduled to have surgery this Monday Nov. 3rd. So don't give up and make sure your surgeons office is working for you too.

Good luck keep me updated.

I started my process 3 weeks ago. I got my PCM to get me a referal which of course he tried to talk me out of getting. I got really upset with him and even told him that the surgon will dictate whether the surgery was for me or not. Needless to say; he put in for the referal. I saw the surgen last week. They said I was a candidate. I had no co-mor. My BMI was 42.2. I am 5'1" and weigh 225.5. Today I got approved by humana military- tricare prime. I called them everyday. Both the docs office and the insurance company. My surgery date is this Monday Nov. 3rd. I dont understand why everyone is having such a hard time with their insurance company. Maybe you just need to stay on their butts... I am wondering if they just approved me so that I could stop calling. Either way I got it and I am glad I was ferm. 3 weeks is nothing compared to some of these people. I haven't gone through my nutrition classes yet. But since they schedualed my surgery so soon I am do to take them the week after I get the surgery. Oh yeah the reason the surgery is so soon is because someone else cancled.

I really do wish every one luck... Stay on their butts people. N if they deny you appeal it.!! Dont give up.:)

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