How long does it take for BCBS to ......

themomhere
on 1/8/08 12:15 pm - Linden, MI
give aproval once the surgeans office submits it?  My information was just submitted today and the nurse/coordinator said if they are busy it can take up to 45 days for their response.  I am just curious if you could share your experience or knowledge with me of how long it took for your aproval and surgery date.  Thanks , Patti
CrystalH
on 1/8/08 6:59 pm - Vassar, MI
Well my BCBS is administered out of VA, and I was told with them the surgeons office only had to call and answer a couple questions but the did all the paper work things and it only took 2 weeks.
themomhere
on 1/10/08 1:21 pm - Linden, MI
Thanks Crystal, that makes sense with what the girls at the office were saying.  I think I may call them to get a better understanding of what is going on tomarrow.  Thank you for your response.  Patti
Pam T.
on 1/9/08 1:01 am - Saginaw, MI
I have BCBS of Michigan and there is no pre-approval authorization.  Once the surgeon's office had collected all the information they needed based on the requirements of my policy, I was "approved".  Basically the surgeon's office is responsible for making sure everything is in order before they perform the surgery --- or they risk not getting paid.   Have you called BCBS to find out if they still require pre-authorization?  Many branches just changed their policy on January 1st where it's no longer required.  Just call the number on the back of your insurance card and find out.  :-) Pam

My Recipe Index is packed full of yumminess!
Visit my blog: Journey to a Healthier Me  ...or my Website

The scale can measure the weight of my body but never my worth as a woman. ~Lysa TerKeurst author of Made to Crave

 

themomhere
on 1/10/08 5:43 am - Linden, MI
Thanks Pam for your reply.  I am going thru Hurley too, with Dr. Kralovich, I need to change my info on here.  You look like your doing really good by the pictures I have seen.  I may have misworded the info but gal at hurley said she was sending it into bcbs for reveiw? I am just ancious and really want this to happen soon.  Thanks, Patti
Pam T.
on 1/10/08 5:47 am - Saginaw, MI
Call Hurley back and bug them.  I've found that they aren't always prompt with returning calls.  Also might want to call BCBS to see if they need pre-authorization on your specific policy. I also know that Hurley has a couple gals *****view your file for insurance compliance before they "deem you approved" ... so maybe that's what they were talking about - having their interal folks review it.  Not sure. I definitely  need to update my pictures.  I'm doing a picture-a-day thing, so I've more recent ones I can add ... just gotta get around to getting them off the camera and onto the computer.  :)  Thanks for the compliment though.  How sweet! Pam

My Recipe Index is packed full of yumminess!
Visit my blog: Journey to a Healthier Me  ...or my Website

The scale can measure the weight of my body but never my worth as a woman. ~Lysa TerKeurst author of Made to Crave

 

dhaworth
on 1/17/08 10:41 pm
Good luck!  I have BCBS and I didn't have to wait long at all.  I started researching WLS in 08/07 and was able to have my procedure in 09/07. Good luck!
Most Active
Recent Topics
×