Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 , What state are you in? I have BCBS of Alabama and was approved the first time. le Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 , What state are you in? I have BCBS of Alabama and was approved the first time. le Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 Hi ... I have BCBS PPO. I am in Illinois, but my husband's employer is based in Minnesota, so it is BCBS of MN... I'm not sure if that matters, since all claims are sent to our local office. I have not yet been approved. I sent my PI form in the end of May, and my packet was sent the beginning of June. There is no exclusion in our policy for WLS, but it does require prior approval. I will let you know what happens. Deb in IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 Hi ... I have BCBS PPO. I am in Illinois, but my husband's employer is based in Minnesota, so it is BCBS of MN... I'm not sure if that matters, since all claims are sent to our local office. I have not yet been approved. I sent my PI form in the end of May, and my packet was sent the beginning of June. There is no exclusion in our policy for WLS, but it does require prior approval. I will let you know what happens. Deb in IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 Hi ... I have BCBS PPO. I am in Illinois, but my husband's employer is based in Minnesota, so it is BCBS of MN... I'm not sure if that matters, since all claims are sent to our local office. I have not yet been approved. I sent my PI form in the end of May, and my packet was sent the beginning of June. There is no exclusion in our policy for WLS, but it does require prior approval. I will let you know what happens. Deb in IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 Hi, ... I have BCBS PPO and had no problem getting approval for the MGB thanks to the great request letter Dr. R. wrote them. I had approval in about 2 weeks, I believe. I had a few " issues " to clear up (a cervical polyp was found during my Pap, I had never had a mammogram, had a bladder infection) boy, I'm a mess, huh? Also, it has taken me a " month of Sundays " to get folks to " cough up " my medical records!!! Anyway, long story short, I am waiting on my Physician's Support letter and then my 12 steps will be complete. BCBS said the pre-approval would be valid until my policy renewal date (which for me is August 1.) I'm gettin' DOWN TO THE WIRE!!! Please pray for me folks!!! Pray my doc gets that letter done this week like he promised!! Anyhow some ever...let me know if I can answer any questions for you, . I think they approved mine so readily because they've already spent a bloody fortune on my comobidity issues (gallbladder surgery, hypertension, etc) See....I TOLD you I'm a MESS!! Good luck!!! Carol K. Pre MGB >From: masp99@... >Reply-To: MiniGastricBypass (AT) e >To: MiniGastricBypass (AT) e >Subject: anyone with bcbs...HELP!! >Date: Mon, 12 Jun 2000 17:31:20 -0000 > >Hello....i am trying to find anyone who has bluecross/blueshield >PPO..i am in the beginning stages of authorization and would like any >info regarding my insurance. i have read extensively regarding the >mgb and i am anxious to get approved..thankyou!! mary > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 Hi, ... I have BCBS PPO and had no problem getting approval for the MGB thanks to the great request letter Dr. R. wrote them. I had approval in about 2 weeks, I believe. I had a few " issues " to clear up (a cervical polyp was found during my Pap, I had never had a mammogram, had a bladder infection) boy, I'm a mess, huh? Also, it has taken me a " month of Sundays " to get folks to " cough up " my medical records!!! Anyway, long story short, I am waiting on my Physician's Support letter and then my 12 steps will be complete. BCBS said the pre-approval would be valid until my policy renewal date (which for me is August 1.) I'm gettin' DOWN TO THE WIRE!!! Please pray for me folks!!! Pray my doc gets that letter done this week like he promised!! Anyhow some ever...let me know if I can answer any questions for you, . I think they approved mine so readily because they've already spent a bloody fortune on my comobidity issues (gallbladder surgery, hypertension, etc) See....I TOLD you I'm a MESS!! Good luck!!! Carol K. Pre MGB >From: masp99@... >Reply-To: MiniGastricBypass (AT) e >To: MiniGastricBypass (AT) e >Subject: anyone with bcbs...HELP!! >Date: Mon, 12 Jun 2000 17:31:20 -0000 > >Hello....i am trying to find anyone who has bluecross/blueshield >PPO..i am in the beginning stages of authorization and would like any >info regarding my insurance. i have read extensively regarding the >mgb and i am anxious to get approved..thankyou!! mary > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 Hi, ... I have BCBS PPO and had no problem getting approval for the MGB thanks to the great request letter Dr. R. wrote them. I had approval in about 2 weeks, I believe. I had a few " issues " to clear up (a cervical polyp was found during my Pap, I had never had a mammogram, had a bladder infection) boy, I'm a mess, huh? Also, it has taken me a " month of Sundays " to get folks to " cough up " my medical records!!! Anyway, long story short, I am waiting on my Physician's Support letter and then my 12 steps will be complete. BCBS said the pre-approval would be valid until my policy renewal date (which for me is August 1.) I'm gettin' DOWN TO THE WIRE!!! Please pray for me folks!!! Pray my doc gets that letter done this week like he promised!! Anyhow some ever...let me know if I can answer any questions for you, . I think they approved mine so readily because they've already spent a bloody fortune on my comobidity issues (gallbladder surgery, hypertension, etc) See....I TOLD you I'm a MESS!! Good luck!!! Carol K. Pre MGB >From: masp99@... >Reply-To: MiniGastricBypass (AT) e >To: MiniGastricBypass (AT) e >Subject: anyone with bcbs...HELP!! >Date: Mon, 12 Jun 2000 17:31:20 -0000 > >Hello....i am trying to find anyone who has bluecross/blueshield >PPO..i am in the beginning stages of authorization and would like any >info regarding my insurance. i have read extensively regarding the >mgb and i am anxious to get approved..thankyou!! mary > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2000 Report Share Posted June 12, 2000 In a message dated 6/12/2000 8:22:18 PM Eastern Daylight Time, tbearkelly@... writes: << I'm gettin' DOWN TO THE WIRE!!! Please pray for me folks!!! Pray my doc gets that letter done this week like he promised!! >> Prayers are with you Carol!!!!!!! Cathy in Lenoir, NC Wanting to be on the other side BMI 42 Patient info emailed 5/2/00 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2000 Report Share Posted June 13, 2000 , I have BCBS PPO of Texas. If you read your benefit book it will tell you if it is a covered benefit. If it says that it is just follow all the steps explicitly in Dr. R's patient manual and you will be on the road. I started the process March 10th, had Surgery 5/9 and am now 5 weeks post op today and doing great. At 4 weeks I had lost 20# and 16 inches. Deb in WY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2000 Report Share Posted June 13, 2000 , I have BCBS PPO of Texas. If you read your benefit book it will tell you if it is a covered benefit. If it says that it is just follow all the steps explicitly in Dr. R's patient manual and you will be on the road. I started the process March 10th, had Surgery 5/9 and am now 5 weeks post op today and doing great. At 4 weeks I had lost 20# and 16 inches. Deb in WY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2000 Report Share Posted June 13, 2000 In a message dated 6/12/00 1:31:58 PM Eastern Daylight Time, masp99@... writes: << Hello....i am trying to find anyone who has bluecross/blueshield PPO.. >> Hi , I have BC/BS PPO. I had no trouble with my authorization once they finally said they received my letter. Debbie sent it from Dr. R's office but they claimed they never got it. I faxed it to them and called to confirm receipt and from then it was three weeks to approval. Be sure to check your actual handbook to ensure that they will PAY for WLS surgery. Just because you get approval (which basically is their agreement that it is medically necessary) doesn't mean that your particular policy will cover the surgery. The first thing I did before anything else was to read my manual and then to call the number on my insurance card and ask them exactly what they cover for weight loss surgery. I took names of everyone I spoke to in case I needed to refer back to them. Interestingly, the first person I spoke to was going the next day to talk to her surgeon for the first time about having WLS! I'd been praying about it and took that as a sign that I was making the right decision. What are the odds that of all the customer service reps who could have answered my call she would be the one? I took it as a " God-incidence " rather than an " coincidence " !! If I can help more, let me know! {{HUGS}} Claire MGB 4/10/00 300/259.5 Yippeeeee 15.25 inches lost forever!! Dr. Rutledge (http:/clos.net) " He who began a good work in you will be faithful to complete it until the day of Christ Jesus. " - Phil. 1:6 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2000 Report Share Posted June 13, 2000 A word of general advice-- send all documents to ins co's " return receipt requested. " They will not be able to claim they didn't receive them and you get a return receipt saying they did! Regards, Debbie in IL In a message dated 6/13/00 11:05:44 AM Pacific Daylight Time, sMama2@... writes: << I have BC/BS PPO. I had no trouble with my authorization once they finally said they received my letter. Debbie sent it from Dr. R's office but they claimed they never got it. I faxed it to them and called to confirm receipt and from then it was three weeks to approval. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2000 Report Share Posted June 13, 2000 A word of general advice-- send all documents to ins co's " return receipt requested. " They will not be able to claim they didn't receive them and you get a return receipt saying they did! Regards, Debbie in IL In a message dated 6/13/00 11:05:44 AM Pacific Daylight Time, sMama2@... writes: << I have BC/BS PPO. I had no trouble with my authorization once they finally said they received my letter. Debbie sent it from Dr. R's office but they claimed they never got it. I faxed it to them and called to confirm receipt and from then it was three weeks to approval. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2000 Report Share Posted June 13, 2000 A word of general advice-- send all documents to ins co's " return receipt requested. " They will not be able to claim they didn't receive them and you get a return receipt saying they did! Regards, Debbie in IL In a message dated 6/13/00 11:05:44 AM Pacific Daylight Time, sMama2@... writes: << I have BC/BS PPO. I had no trouble with my authorization once they finally said they received my letter. Debbie sent it from Dr. R's office but they claimed they never got it. I faxed it to them and called to confirm receipt and from then it was three weeks to approval. >> Quote Link to comment Share on other sites More sharing options...
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