Insurance approval!

[Guest guest]

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 : )