| I think I've finally been approved.
Does perserverance really pay off? I guess I will know soon enough.
I have been wrangling with Horizon BC/BS of New Jersey since October 2004 trying to get approval.
I received a call from our company's benefits broker today. I had to involve our benefits broker because I was getting nowhere trying to deal with BC/BS directly. The last contact I had from BC/BS was January 27. At that time they requested two minor pieces of information that were forwarded by my surgeons office. I called BC/BS March 4 to see if any determination had been made. They said they had received the information requested January 27 and my case had gone back to utilization review, and it would be another 6-8 weeks before I heard anthing. I didn't sweat that too much because I knew that if I received approval, there would be a time frame of 30-45 days imposed, and I had a vacation scheduled for Mid-April and month end at work is hell.
When I got back from vacation I phoned my surgeons office (april 20). They hadn't heard anything from BC/BS--the lap band coordinator phoned them that day--BC/BS went on to request the same information that they requested in the letter of January 27. She kindly forwarded that on in addition to other information and results from some tests and procedures I had in the mean time.
Fast forward to today. I got a call from the benefits broker saying I was approved and a letter was mailed out yesterday, the only rub being was that my time frame for surgery had expired. My benefits broker is now dealing with this. Is this great or what?? What a roller coaster.
__________________
Surgery Date June 9, 2005
Filled & Unfilled to present level of 0cc's
I've Lost right around 75 Pounds
Pretty damm happy about the whole thing!
Dr. Peter Billing-Edmonds Washington
Outside of a dog, a book is man's best friend. Inside a dog it's too dark to read.-Groucho Marx | 
REbanded 8/13/07 
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