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Re:Insurance approval! - DEB

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WHOOOHOOOOO!!!!! YAY!!!!!!! Go, Deb, go!!

Hadjab@... wrote:

>

> Hello everyone..

>

> I just got home from grocery shopping, and I am so excited. I

> went to

> clinic on Tuesday to get a letter saying that Dr. R had seen me,

> Debbie sent

> it to BCBS yesterday, I called the nurse in charge of my prior

> authorization

> this morning, and she said she was just getting it ready to send to

> the

> review committee. She said that because this is an investigational

> surgery,

> the review board might send it out to area surgeons for their opinion,

> but I

> should have an answer in about two weeks. I told her my surgery is

> scheduled

> for July 31 (2 weeks from Monday), and I REALLY wanted to have it

> then...

> She said she would call me later today or tomorrow and let me know if

> they

> were sending it out for other opinions.... Well, when I got home, she

> had

> left me a message saying that the laparoscopic gastric bypass has been

>

> approved! I will feel better when I have that in writing, but I am

> soo

> excited! I am a little worried, because she told me to call customer

> service

> because Dr. R is probably a " non-par provider " so I would need to

> check on

> deductibles, co insurance, and pre existing conditions... does anyone

> know

> what that means? Dr. R is in the PPO, so I assumed I would get

> in-network

> benefits.. and I thought that group insurance didn't have a

> pre-existing

> conditions clause anymore? Whatever I have to pay is ok by me, since

> I was

> trying to figure out how I was going to get the money to self pay.

> Sorry to

> ramble, just wanted to share my happiness!

>

> Deb in IL

> Ready to dance with Dr. R : )

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