How Long for Ins Approval? BC/BS PPO
Hi All,
This is my first post, so if I'm posting in the wrong area for this question, please let me know.
My Dr said my packet was submitted on 11/19/08 for insurance approval. If you have BC/BS PPO, how long did it take to get an answer? Should I call them and ask if they have my info and if they need additional Info, or should I just sit a wait? Is there anything I can do to hurry them up? The waiting in the worst part.
Any suggestions?
This is my first post, so if I'm posting in the wrong area for this question, please let me know.
My Dr said my packet was submitted on 11/19/08 for insurance approval. If you have BC/BS PPO, how long did it take to get an answer? Should I call them and ask if they have my info and if they need additional Info, or should I just sit a wait? Is there anything I can do to hurry them up? The waiting in the worst part.
Any suggestions?
Sorry I should have explained the above post better. Am dealing with elderly father in hospital with heart problems and sister driving from florida and she doesn't know how to drive in snow.
Anyway with the State of Michigan coverage BC really doesn't make the decision. Civil Sevice does. My surgeon's insurance staff had informed me that for some reason it was taking longer. Guess they used to only take a few days. Also I met the qualification for lap band. Couldn't have RNY or DS because of my medical situation and I wanted the Sleeve. My surgeon agreed that the Sleeve would be better for me and they had to request an exception as I did not meet the requirements for the Sleeve. If I have been rambling please forgive me. The pups insist on getting me up anywhere from 1am to 4 so there is a little lack of sleep also. Hope this helps
Anyway with the State of Michigan coverage BC really doesn't make the decision. Civil Sevice does. My surgeon's insurance staff had informed me that for some reason it was taking longer. Guess they used to only take a few days. Also I met the qualification for lap band. Couldn't have RNY or DS because of my medical situation and I wanted the Sleeve. My surgeon agreed that the Sleeve would be better for me and they had to request an exception as I did not meet the requirements for the Sleeve. If I have been rambling please forgive me. The pups insist on getting me up anywhere from 1am to 4 so there is a little lack of sleep also. Hope this helps
Well I have a BCBS individual policy and my policy stated that if you have a BMI of 40 or more there was a 6 month diet required and if you have a BMI of 50 or more there was no need for approval. I had a BMI of 57 and was basically approved automatically. That was a huge difference from my previous insurance that denied me twice while I was at the same weight and had comorbidities.
I agree to the above poster. If you meet all the qualifications no aproval needed. My Dr's office just set me up a surgery date after they checked to see if it wasn't excluded. It took all of about 2 days. Now I'll have to see about my revision.
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Highest weight- 262lbs
Lap band- Aug 2006 - 254lbs.
Lowest w/band 214lbs. .
Gained up to 271 due to the band
Got DS revision April 2010!! Current 145lbs
At 5'8 my goal was 160lbs but I surpassed that with the DS!!!!!!
Lap band- Aug 2006 - 254lbs.
Lowest w/band 214lbs. .
Gained up to 271 due to the band
Got DS revision April 2010!! Current 145lbs
At 5'8 my goal was 160lbs but I surpassed that with the DS!!!!!!
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