Insurance approval

kisersassy
on 6/16/14 2:27 am - Stanaford, WV
RNY on 10/29/12

yayyyyyy, found out today I am approved for my fleur de lis abdominoplasty!!!! Insurance said I didnt even need preauthorization for this type of outpatient surgery and that the codes met the guidelines in my policy. I have BCBS Highmark of WV PPO

AZDee
on 6/16/14 5:02 am - Gilbert, AZ

That's wonderful!!!  I also have BCBS but did qualify...my issues were not my stomach but everything else that had fallen south, so I needed the full lower body lift, and so that did not meet any guidelines...I tried to stick out my stomach as much as I could when the Doctor took pictures...didn't work...Lol

 

kisersassy
on 6/16/14 6:50 am - Stanaford, WV
RNY on 10/29/12

I have no problem in that area, it sticks out in layers lol.  I just hope I can get in ASAP as I start my Nursing classes August 18th and I need at least some time to heal before then.  I hope the turn around isnt too long.

katy
on 6/16/14 3:00 pm

How long did it take for approval

how did you find out

did you call ins or receive a letter

im waiting as we'll 

is there a way to find out by insurance over phone

WorkItOutWoman
on 6/16/14 3:45 pm
  1. How did you find plastic surgeon willing to submit to insurance?  I have highmark as wel. All the surgeons in my area don't care that insurance will pay. They are unwilling to accept the amounts insurance will cover. 

 14844384

 BoutThatLife

kisersassy
on 6/16/14 11:34 pm - Stanaford, WV
RNY on 10/29/12

My surgeon is here in Charleston WV. And they submitted all the documentation on June 3rd.  I habe been calling my insurance company every other day and finally uesterday it was done. Actually on the 14th a letter was sent to my surgeon. But i called my insurance provider

Robert Oliver
on 6/17/14 8:13 am - Birmingham, AL

I would be wary unless you have a specific predetermination letter addressing the requested codes was received back. That usually takes 3-4 weeks and requires photos and a lot of documentation."Not needing preauthorization" is different from "we will pay for this".

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kisersassy
on 6/17/14 8:37 am - Stanaford, WV
RNY on 10/29/12

It is a predetermination i just called it preauthorization.  Documentation and photos were sent on June 3rd.   My insurance is pretty fast getting back with me. Only took a ciuple days for my gastric bypass to be approved

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