Hope for us Blue Crossers! I'm approved!

[Guest guest]

I found out today that I've been approved for the BPD/DS. I have BCBS PPO

and Dr. Gagner's office submitted on Tuesday and received my approval

today. I'm so very grateful, however, I wish everyone of us who deserves

this surgery would be able to get it. I'm not in a position to be able to

self pay, even by flying to Spain. I believe I'll have to pay out of

network costs of about $1,500.00 which I will willingly do. At one point,

I thought I would fight for full coverage since there are no in network

Dr.s who cover this, however, in light of all the insurance denials that

have been happening...I will " quit while I'm ahead " .

=====

from Upper Darby, PA

BMI 63, age 41

Lap BPD/DS (possibly in 2 parts)

Dr. Gagner - 9/15/01

__________________________________________________

[Guest guest]

, congratulations! I don't blame you for not wanting to push

for full coverage in the light of recent happenings elsewhere in the

BC/BS network! I hope my own BC/BS carrier (in TN) will have a change

of their collective minds and approve my own surgery per Dr. Booth's

appeal.

--stella

[Guest guest]

I'm thrilled for you! May your success against the BCBS dragon be the first

of many more for all of us! Which BCBS do you belong to? I'm gathering info

in case I have to do battle.

Marcia

> Hope for us Blue Crossers! I'm approved!

>

>

> I found out today that I've been approved for the BPD/DS. I have BCBS PPO

> and Dr. Gagner's office submitted on Tuesday and received my approval

> today. I'm so very grateful, however, I wish everyone of us who deserves

> this surgery would be able to get it. I'm not in a position to be able to

> self pay, even by flying to Spain. I believe I'll have to pay out of

> network costs of about $1,500.00 which I will willingly do. At one point,

> I thought I would fight for full coverage since there are no in network

> Dr.s who cover this, however, in light of all the insurance denials that

> have been happening...I will " quit while I'm ahead " .

>

> =====

> from Upper Darby, PA

> BMI 63, age 41

> Lap BPD/DS (possibly in 2 parts)

> Dr. Gagner - 9/15/01

>

> __________________________________________________

>

[Guest guest]

Congratulations , I wish you the best with your

surgery and I hope to have the same luck with BCBS.

Mine is still " under review " . That has been the

answer for a month now. I had already recieved

approval for a MGB but then the doctor was put on

review so I wouldn't think it would be to hard to get

approval for the DS. Well..the best of luck to you.

Donna

--- nsyncmom2001@...> wrote:

> I found out today that I've been approved for the

> BPD/DS. I have BCBS PPO

> and Dr. Gagner's office submitted on Tuesday and

> received my approval

> today. I'm so very grateful, however, I wish

> everyone of us who deserves

> this surgery would be able to get it. I'm not in a

> position to be able to

> self pay, even by flying to Spain. I believe I'll

> have to pay out of

> network costs of about $1,500.00 which I will

> willingly do. At one point,

> I thought I would fight for full coverage since

> there are no in network

> Dr.s who cover this, however, in light of all the

> insurance denials that

> have been happening...I will " quit while I'm ahead " .

>

> =====

> from Upper Darby, PA

> BMI 63, age 41

> Lap BPD/DS (possibly in 2 parts)

> Dr. Gagner - 9/15/01

>

> __________________________________________________

>

[Guest guest]

Thanks, Stella. I'll keep you in my prayers.

=====

from Upper Darby, PA

BMI 63, age 41

Lap BPD/DS (possibly in 2 parts)

Dr. Gagner - 9/15/01

__________________________________________________

[Guest guest]

,

I have just joined this group in hopes of getting help with BCBS/AL.

I have been denied due to the fact that DS is investigational!

Anything you ca offer as a suggestion would be greatly appreciated,

Thanks!

Echo

> I found out today that I've been approved for the BPD/DS. I have

BCBS PPO

> and Dr. Gagner's office submitted on Tuesday and received my

approval

> today. I'm so very grateful, however, I wish everyone of us who

deserves

> this surgery would be able to get it. I'm not in a position to be

able to

> self pay, even by flying to Spain. I believe I'll have to pay out

of

> network costs of about $1,500.00 which I will willingly do. At one

point,

> I thought I would fight for full coverage since there are no in

network

> Dr.s who cover this, however, in light of all the insurance denials

that

> have been happening...I will " quit while I'm ahead " .

>

> =====

> from Upper Darby, PA

> BMI 63, age 41

> Lap BPD/DS (possibly in 2 parts)

> Dr. Gagner - 9/15/01

>

> __________________________________________________

>

[Guest guest]

Echo, I wish I could help but I just don't know. Dr. Gagner's office

handled the insurance. I didn't deal with them at all. I was really

afraid to call them and " jinx " myself. I will continue to worry right up

until they put the mask over my face for my surgery. I have a fear of

being wheeled into the operating room and the phone rings....It's the

insurance company calling to say " STOP!!! WE'VE MADE A MISTAKE! " I just

wish this surgery would be over. I figure once they do it...the insurance

company can't take it away from me no matter what! I wish you the best.

Perhaps you could contact Walter Lindstrom?

--- echo98@... wrote:

> ,

> I have just joined this group in hopes of getting help with BCBS/AL.

> I have been denied due to the fact that DS is investigational!

> Anything you ca offer as a suggestion would be greatly appreciated,

>

=====

from Upper Darby, PA

BMI 63, age 41

Lap BPD/DS (possibly in 2 parts)

Dr. Gagner - 9/13/01

__________________________________________________