I'VE BEEN APPROVED POST IT HERE

diva1969
on 11/19/07 4:08 am - SW Suburbs, IL
Hi I just got the call from BCBS-IL that I have been approved for surgery. It took a less than 3 weeks to get an answer and that counts a two resubmits for more information!!!!!


 )i(  )i(  DIVA  )i(  )i(

mochamonie
on 11/28/07 6:55 am - brooklyn, NY
hey everyone i just called aetna and im approved. i already have a date. its been a long process since i started in june of this year but i can say that it's been so worth it.
LSteph
on 12/1/07 7:06 am - IL
I just got approval from BCBS-IL today! Woo hoo!!! I went through a 6 month medically supervised program, and 2 denials. Then I got approved in the first appeal process, which took about a month. The process of getting approved is definitely frustrating...but I hope it will be so worth it in the end. I'm sure I won't even remember this after I become a loser!!!
ler0719
on 12/4/07 11:52 pm - NY

OH MY GOSH!!!!!!!!!!!!!!!!!!!!!  I AM APPROVED!!!!!!!!!!!!!!!  WOO HOO!!!!!!!!!!!!!!!!!!!!!!!!!!!!  Started this process back in July, did everything they asked and I have a date of Jan. 2nd and I am nervous, happy, delirious …every happy nervous feeling possible!!!  Lol!  Wow, they told me the earliest I would get a date was Friday and since I have Cigna it would probably be a denial at first but it wasn’t and I got an answer in 3 days!!  YAY!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!  Sorry, I am just so happy.  Happy New Year to me!!!!!!  Move over people and give me a spot on that losers bench!!  

 

 -Lili 


 

Cheryl M.
on 12/5/07 11:29 am - Morganville, NJ
I finally got the call from my surgeon that I'm approved.    I've been in review with Aetna for the past 40 days (never formally denied).  I don't quite know how he went about it, but all I know is I didn't do a 6 month or 3 month diet   (which from what I understand, Aetna is quite strict about) and was approved.  He did mention speaking with the medical director at Aetna.  I guess they have some secret way around things???  I've learned not to question such things!   I'm looking at a date sometime in January.  I'm so ready to join you guys on the loser's bench. 

CHERYL   HW/SW/CW/GW  335/308/158/170
 42 YRS OLD   5'9"

 

    
curvygirlww
on 12/9/07 10:02 am - TX
I am APPROVED!!!!!  I am soo excited!!! I am so blessed to be one of the ones to be approved after the first submittal. I am scheduled for my LapBand on 1/7/08  and I pray for things to continue to go smoothly. I can't wait to be on the Losers Bench, so please make room, I will be there soon!!!! ***Note to say, that even though I was approved on the first try, I did spend a year doing all the things the insurance company asked me to in order to be approved. Be proactive, make your own forms for your docs to fill out if need be, I know I did!  Look at everything they chart during your supervised diets, and have them make you a copy after EVERY visit!!  DON'T  be afraid to say what you want and NEED to make this happen! Be patient, jump through the hoops, and you'll be done and approved before you know it.  This year flew by, and now I will be banded in no time!!!! God is good!!!  God Bless!
Kim27sd
on 12/12/07 3:51 am - Sioux Falls, SD

I'm approved!!  After a long grueling process with the insurance company jumping through hoops for them for 6 months I was approved on the first try(thank gosh).  If anyone has Fiserv for insurance don't give up just hang in there and eventually you will reach the finish line!! 

nurseanne2
on 12/19/07 11:12 am - Summerville, SC

I've been approved after 12 long months.  Any one who workes for or has insurance through a HCA owned hospital you must have the surgery at a HCA owned hospital even if that means traveling.  I hve to go to another state to have the surgery, but atleast it will be finally happening.

Live, Love and Be Happy
**Debbie** .
on 12/19/07 11:21 pm - GA
I was approved for the sleeve, VSG.  I have BCBS of Maryland.  It's a Nationwide PPO program.  I was required to have the 6 month diet.  I did an online diet where I purchased Medifast and New Life Style products.  I printed out all my purchases and my weight loss log along with lesson plans.  I really didn't think they'd take it but they did. Debbie
Tammi W.
on 12/21/07 11:29 am - Westfield, MA
Well, after a year battling with my insurance company - I found out yesterday morning that I have finally been APPROVED for surgery!!!!!!!!!!!!!!!!!!!!!!!!

I worked with Gary V. who was my advocate for the second appeal - a half hour before we were to go into a teleconference with a committee from Cigna, I got a voicemail - they said "there is no 10:30 am conference - your appeal has been approved." I almost died. I actually called the woman back to verify that it meant I could go forward with surgery....she said YES!!!

I am so relieved and grateful - I'm actually still in shock that that battle is over!

Awaiting "the letter" to get my surgery scheduled - but feel so good that this hard fought battle has finally been won!!!!!!!

 

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