BCBS of Illinois

change4life10
on 8/25/12 5:34 pm
I am wanting to have a revision from RNY to DS and was wondering if anyone else had  BCBS of Illinois and if they had any trouble getting approved. I know everyone is differnet I was just wanting to know others experences.
downsize54
on 8/25/12 6:56 pm - MI
DS on 07/12/12
 They denied DS first try, less then 50 BMI. Peer to peer in the works, for some reason they sent it to external review before peer to peer happened and it came back approved.
change4life10
on 8/25/12 7:04 pm
How long did it take to get your approal I am over 50BMI so that won't be a problem hopefully all goes soothly.
Sandra C.
on 8/25/12 8:32 pm - Kalamazoo, MI
 Hi Downsize,
I was so happy for your approval. How are you doing with your recovery and WL ? P.M. me, I'd love to hear about your successful surgery.

View more of my photos at ObesityHelp.com

Duodenal Switch- lap
Dr. Paul. Kemmeter Grand Rapids, Mi.
Dr. John  Renucci, Plastics, Body contouring,Grand Rapids, Mi.
Start 255/ Surgery wt 235/ Current wt. 117

BMI-20, 135 lbs lost, 5'3"

   

Sandra C.
on 8/25/12 8:29 pm - Kalamazoo, MI
 I have BCBS of Mi. I asked my surgeons office for the billing code of the D.S., called myself to see what the restrictions were. I was approved within a week with comorbidities, and being a cancer surviver- needed the D.S. to prevent future cancer by being thin for life. the D.S. is the best for least regain. I had a light weight start weight.  My surgeons office was the best at handling my insurance approval. I didnt have to do anything extra to be approved. I was told by my surgeon now there is a new mandatory pre diet of a few months for all the different types of insurance. 

View more of my photos at ObesityHelp.com

Duodenal Switch- lap
Dr. Paul. Kemmeter Grand Rapids, Mi.
Dr. John  Renucci, Plastics, Body contouring,Grand Rapids, Mi.
Start 255/ Surgery wt 235/ Current wt. 117

BMI-20, 135 lbs lost, 5'3"

   

change4life10
on 8/26/12 6:07 am

Is the diet just for the DS? I'm glad you got approved so fast. I go see my surgeon sept 7.

downsize54
on 8/25/12 11:51 pm - MI
DS on 07/12/12
 It wasn't that long,maybe  4-6 weeks at the most after first denial
change4life10
on 8/26/12 6:08 am
Can I ask where you are haveing your surgery done?
downsize54
on 8/26/12 10:23 am - MI
DS on 07/12/12
 PM sent.
teachmid
on 8/26/12 11:07 am - OKC, OK
I'm not sure of your plans, but there are only a few surgeons in the country/world who do the RNY to DS revision. Take a look at DSFacts.com. This is very complex surgery, so do your research. I had mine done 12/10.

Good luck.
     -Gail-
SW  257    CW  169  GW  165
  
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