Re: BCBSNC State Employee?

[Guest guest]

Thanks and HOORAY for you! Janet

>

>Reply-To: MiniGastricBypass (AT) egroups (DOT) com

>To: MiniGastricBypass (AT) egroups (DOT) com

>Subject: Re: BCBSNC State Employee?

>Date: Wed, 30 Aug 2000 12:33:38 -0000

>

>I was approved with BCBSNC State Comprehensive within 6 days. I had

>no trouble at all. My surgery was 6-2-00 and I have lost 63 pounds.

>Tell her to try again. I don't think she was given accurate

>information. Good luck to your friend!! (and You!!)

>

>6-2-00 275

>today 212

>yippee!!!

>

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> > Does anyone post-op or pre-op that has insurance approval,have

>BCBSNC State

> > Employee?A friend of mine called BCBSNC and was told no.I was kinda

>shocked

> > especially since she is diabetic and her pcp is the one who

>referred

>her,she

> > also is 100 lbs over and BMI well into 40's.Thanks, Janet

> >

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[Guest guest]

I was approved with BCBSNC State Comprehensive within 6 days. I had

no trouble at all. My surgery was 6-2-00 and I have lost 63 pounds.

Tell her to try again. I don't think she was given accurate

information. Good luck to your friend!! (and You!!)

6-2-00 275

today 212

yippee!!!

> Does anyone post-op or pre-op that has insurance approval,have

BCBSNC State

> Employee?A friend of mine called BCBSNC and was told no.I was kinda

shocked

> especially since she is diabetic and her pcp is the one who

referred

her,she

> also is 100 lbs over and BMI well into 40's.Thanks, Janet

>

______________________________________________________________________

___

> Get Your Private, Free E-mail from MSN Hotmail at

http://www.hotmail.com.

>

> Share information about yourself, create your own public profile at

> http://profiles.msn.com.

[Guest guest]

According to Barbara, BCBS has just changed their criteria for

approval of WLS and are now requiring verification from the surgeon

(Dr. R) that he has seen us and it is " safe " for us to have the

surgery. The good doc is composing a letter that we can send to them

verifying that the clinic visit is a " physical " .

I guess BCBS got scared since so many were approved for surgery and

desided to make things harder! Those of you who were approved earlier

are the lucky ones!

Gloria

Still waiting in Chapel Hill

[Guest guest]

Janet

I am still pre-op and I have BCBS of NC. Last week I was denied- their

reason- " lack of clinical information " . If I understand all the insurance

mumbo jumbo what that means (I think) is that they want the doctor

performing the surgery (Dr. R in our case) to do a physical. Barbara at Dr.

R's office said they are working on a letter explaining to BCBS that the

clinic visit should be sufficient and it sort of is a physical, minus the

labs.

That was last week. I am going to try to call today and see if she has

heard anything. Is anyone else going through the same situation? Gloria

:0) Dean and I seem to be in the same boat. If anyone has any suggestions

please let us know.

I had to take a break for a few days. This whole process is exciting yet

over whelming at times. I hope to hear good news from BCBS and I hope your

friend does as well.

Dana In Newton Grove

BCBSNC State Employee?

>

> Does anyone post-op or pre-op that has insurance approval,have BCBSNC

State

> Employee?A friend of mine called BCBSNC and was told no.I was kinda

shocked

> especially since she is diabetic and her pcp is the one who referred

her,she

> also is 100 lbs over and BMI well into 40's.Thanks, Janet

> _________________________________________________________________________

> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.

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> Share information about yourself, create your own public profile at

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[Guest guest]

Dana,you go through many phyisical and mental exams and those files are sent

to your insurance co. and then they decide whether or not you are able to get

the surgery. Hang in there, its worth it. It took me ten month from start to

finish. Chuck from Chicago