I'VE BEEN APPROVED POST IT HERE

Dolores O.
on 1/25/08 2:26 am
APPROVED.  Went to my first consultation December 3, 2007, acceptance December 7th, with letter being dated and mailed December 11th.   I received the letter while I was in the hospital...about December 13th or 14th.  Surgeon postponed my  surgery due to clots in my legs and until she received authorization from my hemotologist it was ok to have the surgery in 3 months.  My hemotologist dictated the letter and on January 21 I got a call to schedule my surgery date.......MARCH 6TH!!!!! I love Keystone Health Plan East (I have a POS plan)  I have never experienced any problems with them.  I just have to figure out the conflicting information I am receiving about paying out of pocket from people here on OH, and the Barix board. Does anyone know?  I spoke with Member Services and she told me that if I get a referral even though I am not required to, my surgery and call costs will be covered 100%.  But I am hearing from others who that is not the case.  I even spoke with someone at Barix without telling her I spoke with the insurance company and she said exactly the same thing as the rep, no costs to me if I have a referral...but possibly my co pay for each day in the hosptial.  Anyone have a clue?  I'm gonna go and call again.
MyOMy
on 1/25/08 4:53 am - Youngsville, NC
Yes, my day is finally coming! I started this whole ride back in April of 07. I had UHC then and they denied me but I appealed and appealed to no end. At the beginning of the year my insurance changed to BCBS of MA. My surgeons office submitted on Wed. and I'm APPROVED TODAY! To anyone out there fighting the system, hang in there and fight!
Someone please Pinch Me!

happy-1.gif happy image by nosh2008a

Dolores O.
on 1/26/08 9:57 am
*pinches Wendy* C O N G R A T U L A T I O N S
bharg8607
on 1/26/08 11:55 am - NJ

Waiting for BCBS  of Illinois to review 2nd request for more detailed information regarding my last six month weight loss.   Ballerie

Mslayd02 aka Mrs.
Big_Cle

on 2/2/08 6:20 am - Durham, NC

The insurance company recieved my paper work on last monday and I got a call from the surgeons office on Thursday saying I was approved.

 

pear B.
on 2/9/08 4:32 am - OK
Yesterday I got approval from my insurance.  I was approved for either RNY, lap band, or VSG.  I am choosing VSG.  I have CNIC health solutions, and I was approved 10 days after submitting my request...so excited can't wait!!
CoobyD
on 2/10/08 9:12 am - Burnsville, MN
I have BCBS MN PPO and I was approved in less than 24hrs!!!  Park Nicollet Clinic takes care of EVERYTHING for you.  The insurance specialist at PNC called to let me know that I was approved and then about an hour later, BCBS called and said I was approved too.  I couldn't believe the insurance company called!  I have mild comorbidities,  such as joint pain and mild back pain.  I don't have high cholesterol or high blood pressure or sleep apnea, but my triglycerides were high and diabetes run in my family and a BMI of 44. 
stefyberg
on 2/20/08 10:58 am

it took my insurance company 2 weeks to approve the surgery i have horizon nj plus. my surgery date is march 5,2008. cant wait 14 more days..

ginawins
on 2/27/08 12:40 am - Las Vegas, NV
Oh my goodness I am reading through all of these posts and have not read one approval from Pacificare HMO.  I just completed my 13mo. diet and submitting this week.  I was denied last year for having a hole in my year long diet of one mo.  I can't see how they could possibly do anything but approve now.  Someone please advise if you have gotten approval from Pacificare HMO.  I am in Nevada btw!  A BIG THANKS.  Gina
DSBOO
on 2/28/08 8:54 am
Approved by BCBS of IL. Sarted my journey in April 2007. finished and submitted in October. they said i had no pysch eval(i did),re-sent it. then they said i only had 5 month not the 6 month required supervised diet. Sent in the 6th month. Then they said I had no 5 yr history and that was why I was denied. I gave up at first but decided to send the additional info and a personal letter. This was sent on 2/15/08. I got the call I was approved on 2/26/08. surgery date is 4/14/08. Don't give up. document every call to your ins. provider. keep notes of everthying it helps.i wrote down when i had appointments and names,dates and times of every conversation.
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