BCBS of IL - FINALLY APPROVED!!!

KawasakiChick · December 17, 2008

:confused::thumbup::sad_smile::thumbup::thumbup::thumbup:

Finally after 2 denials and 2 appeals, I got my approval letter from BCBSIL today!! YIPPEE!:shades_smile:

I am absolutely ELATED! For a while there I had given up hope that I would ever get approved, but low and behold there was a bigger plan in the works for me!

I have been in this process since 1/15 and am finally wrapping it up, it has been a heck of a year, but I am excited for great things to come in 2009!!

marissa_789 · December 18, 2008

Hello! I am new to this community and i have a doctors appointment in 2 days in San Antonio with a surgeon. I am employed with AT&T in texas and have United HealthCare Choice Plus and wanted to know if anyone had been approved through them or denied the coverage for gastric bypass.

BeautyLocs · December 18, 2008

Congratulations on your approval! Do you have your surgery date yet?

My information was submitted to my insurance company (Blue Care Network of Michigan) on December 11. I was told it would take two weeks to get a decision. Do you know why you were denied the first two times? What was your appeals process?

marissa_789 · December 18, 2008

i am going for my first consulatation with the surgeon and would hate to spend 3 and a half hours of driving and co-pays for insurance to deny me right off the bat. i was wondering if anyone in the community has had the surgery and been covered with uhc.

KawasakiChick · December 18, 2008

Congratulations on your approval! Do you have your surgery date yet?
My information was submitted to my insurance company (Blue Care Network of Michigan) on December 11. I was told it would take two weeks to get a decision. Do you know why you were denied the first two times? What was your appeals process?

Hey there, well let's see the first time it was because I "forgot" to send in my 6 month medically supervised diet, but when I pointed out the page number from the fax, they magically found it and resent it for appeal. The second time they denied saying that my physician's monthly clinical notes weren't specific enough and they needed more info. It took my dr. almost 2 months to redo this to their liking and then I submitted again.

It worked though, I was approved...I think they just wanted me to jump through some hoops...:huh2:

GOOD LUCK!!:cursing: