Anyone get Approved in Illinois?

Flowerpurr · 04-28-2008, 12:35 PM

Hello,

I went to my suregon's office on Firday and he said it is hard to get approved in Illinois? Is this true? I have Aetan POS II and wanted to find out if anyone had a hard time getting approved.

Onnie67 · 04-28-2008, 01:27 PM

I am in IL...i have never heard this...what i have heard is it depends on your insurance...
:) where are you having your surgery done at??

ladybug97 · 04-28-2008, 01:47 PM

I am in Illinois (Blue Cross/Blue Shield) and was approved the first time that my surgeon submitted the claim. I agree with the first poster...it really depends on the insurance plan.

Flowerpurr · 04-28-2008, 01:51 PM

I am getting surgery done at Condell Hospital. I have Aetna and I have follwed their criteria to a T. How long did it take you to get approved once you submitted the paper work?

Lauril · 04-28-2008, 02:23 PM

Hello,

I also live in Lake County, IL. My Doctor (Denham) is out of Vernon Hills, but I had my surgery done at Glenbrook Hospital. I have Blue Cross Blue Shield HMO and I was approved quickly and easily in like 7 days from when the Doctor's office submitted the paperwork. I know Condell has been in the news recently about insurance partnership problems.... maybe it's more about the hospital then anything. Hang-in there, don't lose hope. I'm sure it's just slow paperwork........

Onnie67 · 04-28-2008, 02:36 PM

I am in the final stages for approval. 2 others in our local had their paperwork turned in and they were approved with in 2 weeks...
I am hoping it is the same for me!!!

Flowerpurr · 04-28-2008, 03:00 PM

Well I hope to get approved that quickly. I have all my ducks in a row so I don't see why not. I am have Dr. Watson and Otto do my surgery. They are out of Condell. I am just waiting on my other Dr.'s to write letters.

Flowerpurr · 04-29-2008, 12:46 PM

Did Dr. Denham make you have an upper GI before you had the surgery?

Catach · 04-30-2008, 12:03 PM

Bloomington Illinos I was approved by my doctor to start the 6 months process. Health Alliance makes you do a 6 month process and if you miss 2 appointment you have to start all over again and your only allow 1 restart. My insurance said all I needed was to be referred from the doctor.

Tamihott · 05-01-2008, 11:25 AM

My first consult was with Dr Boe in Pa. He orginally practiced out of Chicago Il and relocated beacuse they had such a hard time getting their patients approved. He also stated that Illinois was very difficult to get approvals, but I see lots of people have. I got very discouraged though I live in Pa I have Bc/bs il. Good luck to us both. Tamara