Update: Approved! (Anthem is giving me hissy fits)

PamLovesLime
on 11/16/10 7:01 am, edited 11/18/10 2:12 am - IN
My stuff was actually sent the 5th, not the 8th like I thought. I call daily. Still sitting on someone's to do list. Then I see people getting a turn around in less than a day!!?!?!?!? 

I almost wonder if part of the problem is that there is no surgery date scheduled. Every time I call, they ask me the date of the surgery. My surgeon doesn't schedule a date until after approval. So maybe the ones with dates on them go first since they are more seemingly urgent???

Trying to rationalize what cannot be rationalized...


Pamelalalala
Switched on Feb 9, 2011! 

        
kikirn
on 11/16/10 9:21 am
 Do you have Anthem BCBS?  My insurance will be Anthem starting January 1st.  Do you know if Anthem is approving the sleeve?  I was in the process of being approved through Cigna, but found out last month that we will no longer have Cigna.  Back to square one, I'm so disappointed.  I hope you get good news soon!
PamLovesLime
on 11/16/10 9:54 am - IN
 Yes, that is Anthem BCBS. Of course, within Anthem you have PPO and HMO as well as different rules and coverage for different companies/organizations. My husband's company is self insured using Anthem to manage. My husband's company covers everything as long as BMI is met, but others may not.


PamLovesLime
on 11/18/10 2:11 am - IN
 Approved! 

DS surgery
44 BMI
No Co-morbids
no 6 month diet or 5 year history

Other than the drawn out wait, it was easy!


Anthem BCBS PPO out of CA
Husband's company is self insured with Anthem managing care


Pamelalalala
Switched on Feb 9, 2011! 

        
kikirn
on 11/18/10 10:01 am
 Congrats :)
Reverend
on 1/19/11 7:07 am
Congratluations on your approval =)  Sounds like you had a fairly easy time--as it should be!

And hey, I'm originally from Westfield! (You probably just refer to it as "North Carmel" ;) )

Best wishes,

Jonathan

       
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