How Long?

FernTate
on 3/16/08 9:27 am
Wondering from any of you who care to share, how long it took to get your surgery date? My saga started in Oct., and I have all the workup stuff done, surgeon ready to submit to insurance (blue cross). I wonder how long it will take for insurance to approve, THEN how long for surgeon to give me a date? Would love to hear from your experiences on this. It will be Higa, in Fresno. Thanks. I'm new and this site should be really helpful. Fern
hayley68
on 3/16/08 10:53 am - abilene, TX
I started my process in Sept. my Dr submitted to the ins. (Healthsmart) Feb 14 and suprisingly got an approval the very next day. And i had my surgery last Wednesday march 12. Hope yours goes well also.
avivasmom
on 3/17/08 11:27 am - plantation, FL
I guess I am lucky...went for my first meeting with the surgeon around Jan 14th. Got my approval Feb 28th and my date Feb 29th. Hugs, Dori
John J.
on 3/16/08 11:10 am - Grand Rapids, MN
I began my journey of things in July of 2007. I went through the doctor supervised diet visits, Psych appts, and physical therapy to ensure I was healthy enough. That all too****il the last week in November of 2007. Then they submitted it to BCBS. Well, I learned what the BS in BCBS stands for. They denied me the first go around and said they wanted more supervised diet (Full 6 months). So, I had to wait until the 2nd week of February to appeal. They called me on Feb 14th with approval and Feb 15th with a surgery date. So, March 27th I get my RNY and begin my 2nd life.
Capissa
on 3/17/08 4:40 am - MA
Wow I just read your reply John and cant belive it! I am so sorry to hear that.. I guess it depends what plan you have... I am BCBS PPO (Federal Employee Program), I thought it was all the same... sorry a little bit of my ignorance is showing! Either way.. good luck Fern, I will say alittle prayer for you!!!
Lisa C.
on 3/16/08 12:16 pm - Central Coast , CA
I went in October as well. I have Blue Shield and my Sister had Blue Cross. We are having RNY with Boone, also in Fresno. My sister had surgery on Feb. 11 and I am schd for March 20th. I had to really follow up a lot with staff. They seem to have loss faxes and I had to resubmit but I herd back from insurance in January? Hope this helps Lisa
Capissa
on 3/17/08 4:36 am - MA
Well the good thing is that you have Blue Cross... My surgeons office said it was the quickest and easiest to approve and they dont require a 6month medically monitored diet. I started my journey on Dec. 28th and am scheduled for surgery on March 20th, though I do belive the stars were aligned in my favor! But nevertheless my surgeon actually booked my surgery without having the approval because he knew it would take about a week, and sure enough I got my approval letter within 7 business days of their submittal and a case manager called me from BCBS to notify me as well. Overall they have been GREAT!!! I wish you the best of luck and dont worry sunshine!
FernTate
on 3/17/08 4:59 am
Wow, Marisol, only a couple more days. I am so exited for you. Many, many thanks for the encouraging information. Fern
Trudy B
on 3/17/08 6:25 am - Superior, WI
I have been waiting a year so far if my clinic does not get the center of excellence I could be waiting a year more. Cross your fingers
FernTate
on 3/17/08 7:02 am
Wow, I will definitely cross my fingers, and say a prayer or two for you. Is there a way for you to get to or travel to a CME somehow? That is my problem, I'm going to have to drive 4 hours to get to one, as the local surgeon is certified CMI. Fern
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