Approved! (finally)

(deactivated member)
on 11/21/05 11:10 pm
Well. . . After scheduling a Dec. 13th surgery date last August~ and After jumping through many BCBS hoops of bariatric approval fire~ and After worrying and wondering whether or not I would get the run around~ and After lots and lots of reassurance from the insurance person at my surgeon's office~ I have finally been formally approved for RNY lap But now I have to: Do a sleep apnea test Re-do the EKG, chest x-ray and some bloodwork Meet with a pulmonologist and. . . . something else which escapes me. I am beyond ready for 12-13-05 to arrive!
pattyg
on 11/21/05 11:21 pm - Springfield, IL
Can you tell me a secret to get BCBS to approve?? I have been given the run around for almost a month now and it all stems from my paperwork NOT being scanned into the system?? I have called Medical review, Medical services, customer service and supervisors and they ALL tell me they can't help! I am getting So frustrated I just want to give up (which I know is what they want me to do) UGH!!!!!
(deactivated member)
on 11/21/05 11:36 pm
Patty~ I have BCBS HMO IL. As I understand it, there are several different insurance policy management services BCBS farms both HMOs and PPOs to because there are so many different types of policies. I suppose I am lucky in that the service who manages my particular policy worked with my surgeon's insurance person to get approval. I did have to rewrite a couple of letters, but compared to what you and so many others are going through, my approval process was relatively easy. I wish there was something more I could say to help you out!
Melissa P.
on 11/22/05 7:30 am - Aurora, IL
I heard that if you have someone from your HR department call and say that they heard about the problem, it gets them moving. That is waht I am planning on doing if I get no where. They are scared to loose the company's business.
Karyn B
on 11/21/05 11:38 pm - Chicago, IL
wohoo! way to go girl! Although I was originally denied by BC/BS of IL (because my COMPANY excluded it, not BC/BS), but after an appeal letter was sent by my surgeon, I was approved ... best wishes to you ... hopefully we'll be able to meet up before your big day! --Karyn
(deactivated member)
on 11/22/05 12:58 am
Thanks Karyn!
(deactivated member)
on 11/22/05 2:16 am
Thanks Christina!
Lora Leach
on 11/22/05 2:25 am - Goreville, IL
CONGRATS!! The 13th will be here before you know it!
terrydade
on 11/22/05 5:55 am - Rockford, IL
Hey, Lora, how are you doing? Haven't seen you around in a while. Terry
(deactivated member)
on 11/23/05 7:06 am
Thanks Lora
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