How long did it take to get your approval on your revision from BCBS Federal?

Virgie Tschirhart
on 11/5/17 12:05 am - Midwest City, OK
RNY on 12/27/17

Just wondering how long will it take to get my approval from them for my revision from the Sleeve to RNY.

I live in Oklahoma. This is going in as a medical necessity due to my hiatal hernia severe acid reflux. Since this is November would like to have my surgery before the year ends.

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

sheriberi29
on 11/5/17 3:49 am - Cleveland, TN

Mine took 2 weeks to hear back !

Banded 6/9/09 HW 242 LW 142 Revision 198 m 1 loss 16 lbs 182. M 2 loss 4 lbs 178. M3 loss 6 lbs 174.m4 loss 4 lbs 168. M5 gain 2 lbs 170. M6 loss 7 lbs 163 M7 loss 5 lbs 159 M8 loss 1 lb 158 M9 loss 0 M10 155 loss 3 M11 154 loss 1 M12 loss 2 152 M13 loss 3 149 M16, 17 0 loss M 18 loss 4 lbs 145 (18 months 53 lbs)

Virgie Tschirhart
on 12/4/17 11:22 pm - Midwest City, OK
RNY on 12/27/17

Thanks sheriberi29. That sounds pretty quick.

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

sheriberi29
on 11/5/17 3:51 am - Cleveland, TN

Also I should add , I called them everyday after the first week.... I didn't get the letter until much later but once I got the approval by phone I called my dr and told them I had received the approval. Y phone, they called and confirmed and scheduled my surgery

Banded 6/9/09 HW 242 LW 142 Revision 198 m 1 loss 16 lbs 182. M 2 loss 4 lbs 178. M3 loss 6 lbs 174.m4 loss 4 lbs 168. M5 gain 2 lbs 170. M6 loss 7 lbs 163 M7 loss 5 lbs 159 M8 loss 1 lb 158 M9 loss 0 M10 155 loss 3 M11 154 loss 1 M12 loss 2 152 M13 loss 3 149 M16, 17 0 loss M 18 loss 4 lbs 145 (18 months 53 lbs)

Virgie Tschirhart
on 11/5/17 4:43 pm - Midwest City, OK
RNY on 12/27/17

Yes, I'm going to do the same and call them everyday after the first week. I heard someone got approval after 5 days. Thanks for sharing sheriberi29!!!

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

Hotchic
on 12/4/17 7:57 pm

What was the out of pocket expenses. Dd yiu have to pay a copay.

sheriberi29
on 12/5/17 6:48 pm - Cleveland, TN

I had to pay my 20% coinsurance .

Banded 6/9/09 HW 242 LW 142 Revision 198 m 1 loss 16 lbs 182. M 2 loss 4 lbs 178. M3 loss 6 lbs 174.m4 loss 4 lbs 168. M5 gain 2 lbs 170. M6 loss 7 lbs 163 M7 loss 5 lbs 159 M8 loss 1 lb 158 M9 loss 0 M10 155 loss 3 M11 154 loss 1 M12 loss 2 152 M13 loss 3 149 M16, 17 0 loss M 18 loss 4 lbs 145 (18 months 53 lbs)

sheriberi29
on 12/5/17 6:48 pm - Cleveland, TN

It was $3800

Banded 6/9/09 HW 242 LW 142 Revision 198 m 1 loss 16 lbs 182. M 2 loss 4 lbs 178. M3 loss 6 lbs 174.m4 loss 4 lbs 168. M5 gain 2 lbs 170. M6 loss 7 lbs 163 M7 loss 5 lbs 159 M8 loss 1 lb 158 M9 loss 0 M10 155 loss 3 M11 154 loss 1 M12 loss 2 152 M13 loss 3 149 M16, 17 0 loss M 18 loss 4 lbs 145 (18 months 53 lbs)

deetrayn
on 12/12/17 8:51 am

I have BCBS Federal. Once everything was submitted to insurance, it took less than a week for the approval. I was revised from lap band to sleeve.

Virgie Tschirhart
on 12/12/17 8:54 am - Midwest City, OK
RNY on 12/27/17

Yeah!!! Thanks so much for replying! Congrats on your surgery!

May I ask you who your doctor is? Mine is Dr. Lana Nelson in Norman, OK.

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

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