Waiting on approval - BCBS NC

hansmom10
on 10/24/13 2:49 am

Hi all,

My paperwork was submitted on Tuesday and I'm waiting to hear back from insurance.  I had my RNY in 11/2007, lost down to 145, but am now back up to 235 (90 lbs, YIKES!).  Going through Dr. K requesting a revision to DS.  So the wait/weight is on. (haha, I'm so punny.     )  Anyone else have nay luck on getting approved for a revision through BCBS NC?

 


 

Member Services
on 10/24/13 4:31 am - Irvine, CA

Good luck to you and please keep us posted on how you are doing and when you get a surgery date  

pineview01
on 10/25/13 12:46 pm - Davison, MI

Good for you and Good Luck!  Just a fyi, it may not make any difference if others were approved or not at each policy can be different even with in BCBS NC.

Wishing you a speedy approval!

BAND REMOVED 9-4-12-fought insurance to get sleeve and won! Sleeved 1/22/13! Five years out and trying to get that last 15 pounds back off.

Sherrie P.
on 11/1/13 12:25 pm
RNY on 02/06/13

My revision was denied by BSBC of NC, the peer to peer review was denied. Then my personal appeal was approved on day 29 of the 30 they are allowed to make a decision.

Hopefully yours will go smoothly!! If it does not... don't give up!!

Revision Lapband to RNY 2-6-2013   HW: 286  Pre-Op Diet: 277  Surgery Day: 265  Goal: 155  CW: 155

Plastic surgery 8/28/2014: Brachioplasty, mastopexy, & abdominoplasty.

Plastic surgery 1/27/2015: Butt Lift

    

everlasting
on 11/2/13 10:51 pm

Praying that you get approved the first time! I was denied almost immediately. I submitted an appeal and hired Lindstrom. I am still waiting and hopefully I will hear something soon. 

LilySlim Weight loss tickers

hansmom10
on 11/3/13 5:39 am

Well, phooey!  

I was denied.  They said it wasn't medically necessary according to their definition.  Dr. K and another radiologist are reviewing my UGI and I'll begin the appeal process.  I'll update and things progress.


 

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