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06-24-2008, 10:46 AM
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#1 | | Registered User Thread Starter  
Join Date: Apr 2008 Age: 25
Posts: 142
State: louisiana | Im in the hands of the Insurance now!!!
I just got the call from the Bariatric Center and she said they sent the info to bcbs of MN last night. So I called blue cross and they said they dont see it yet but thats normal and I should wait a few days. I am sooooo nervous. I cant sleep and I eat more because I am stressed out!!! I have all my plans though if I am denied my doctor will do a Peer to Peer first.. And just to let yall know this is what anyone should do before the appeal my doctor said she had only been denied the peer to peer once since she has been doing them. So if I am denied with the peer to peer I already emailed the obesitylaw.com for the appeal so I am just waiting sick with a headach and no sleep!!! lol I hate the insurance!!! Anyone waiting like I am?
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06-29-2008, 11:01 PM
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#2 | | I Luv Smileys :)!
Join Date: Oct 2007 Age: 35
Posts: 486
City: Birmingham State: Alabama |
what is a peer 2 peer?
__________________ Surgery: 9/9/08 Goal: lose 123 lbs |
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06-29-2008, 11:43 PM
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#3 | | Registered User
Join Date: May 2008 Age: 19
Posts: 98
City: Fargo State: ND |
ugh, I'm totally in the same boat as you right now. I'm actually in North Dakota. But I'm waiting on Tricare Standard to approve me. My doctor's office said they were sending the stuff out. I'm worried I will get denied because my insurance company will probably only do people my age (18-19) in really severe cases. So...who knows. But I have my surgery scheduled and I'm going in for pre-op blood testing and stuff in a day or two. I really don't have to be let down.
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06-30-2008, 10:54 AM
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#4 | | Registered User Thread Starter  
Join Date: Apr 2008 Age: 25
Posts: 142
State: louisiana | Quote:
Originally Posted by aprilapple what is a peer 2 peer? | thats before you do the appeal you can ask your doctor to do a peer to peer (she will know what you are talking about) and then she will call the ins. person working on your file and try to explain why you need this surgery. My doctor said she has only been denied in a peer to peer once. So from what I understand it works pretty good :)
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06-30-2008, 10:57 AM
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#5 | | Registered User Thread Starter  
Join Date: Apr 2008 Age: 25
Posts: 142
State: louisiana | Quote:
Originally Posted by blackcherry2002 ugh, I'm totally in the same boat as you right now. I'm actually in North Dakota. But I'm waiting on Tricare Standard to approve me. My doctor's office said they were sending the stuff out. I'm worried I will get denied because my insurance company will probably only do people my age (18-19) in really severe cases. So...who knows. But I have my surgery scheduled and I'm going in for pre-op blood testing and stuff in a day or two. I really don't have to be let down. |
Ugh I know what you are talking about.. I am still waiting the dr office said they would send it on friday.. this is after they told me they sent it on tues. So I am just waiting.. but if they deny you (or me) then it will just be time for an appeal :)
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07-01-2008, 12:19 AM
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#6 | | Registered User
Join Date: May 2008 Age: 19
Posts: 98
City: Fargo State: ND |
good news!!! I just got a call today from Patricia...realllllly nice lady. and oh yeah...she told me I'm approved! lol I'm so happy. But I'm still gonna keep my guard up...until that freaking band is around my tummy and they close me up lol
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07-01-2008, 01:27 AM
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#7 | | Registered User Thread Starter  
Join Date: Apr 2008 Age: 25
Posts: 142
State: louisiana | Quote:
Originally Posted by blackcherry2002 good news!!! I just got a call today from Patricia...realllllly nice lady. and oh yeah...she told me I'm approved! lol I'm so happy. But I'm still gonna keep my guard up...until that freaking band is around my tummy and they close me up lol |
lol im sooo happy for you :) I hope I get that call!!!!!!!!! I wish!!!!! Im waiting!!!!!!
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07-01-2008, 09:10 AM
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#8 | | Registered User Thread Starter  
Join Date: Apr 2008 Age: 25
Posts: 142
State: louisiana |
APPROVED!!!! I just talked to the insurance and they said that as far as she can see I was approved yesterday and I will recieve the letter in the mail and I have until june 2009 to have the surgery!!! ha like i would wait that long!! lol yeaaaah
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07-01-2008, 11:59 AM
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#9 | | SALAM
Join Date: Oct 2007
Posts: 188
City: Richardson State: Texas |
Congratulations!!!Good Luck!!!
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07-01-2008, 06:00 PM
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#10 | | Registered User Thread Starter  
Join Date: Apr 2008 Age: 25
Posts: 142
State: louisiana |
thanks!! My surgery is scheduled!!!! JULY 16th!!!!!!!!!! I start my liquids tomorrow!!!! :) :) :)
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07-01-2008, 11:23 PM
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#11 | | I Luv Smileys :)!
Join Date: Oct 2007 Age: 35
Posts: 486
City: Birmingham State: Alabama | Congrats Emily and Black Cherry
OMG! Congrats to both of u. Emily, it's hard to believe that u started this thread a few days ago stressed out! That was quick for both of u. My stuff had to be mailed in because I am using photos to document weight. So no I need you all to pray for me, seriously because now i am in the hands of the dreaded ins. co.
__________________ Surgery: 9/9/08 Goal: lose 123 lbs |
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07-02-2008, 01:00 AM
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#12 | | Registered User
Join Date: May 2008 Age: 19
Posts: 98
City: Fargo State: ND |
lol I had pictures taken too. And the fact I was so young scared me...that they wouldn't do it for me. But nope! I'm excited/scared lol
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07-02-2008, 11:19 AM
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#13 | | I Luv Smileys :)!
Join Date: Oct 2007 Age: 35
Posts: 486
City: Birmingham State: Alabama |
Black Cherry- You didn't use dr. recorded weight history. Your insurance co. accepted photos as well? How far back did you have to go? Did they mail the information? How did you get an approval so quickly if they mailed the pics with the info?
__________________ Surgery: 9/9/08 Goal: lose 123 lbs |
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07-03-2008, 03:04 AM
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#14 | | Registered User
Join Date: May 2008 Age: 19
Posts: 98
City: Fargo State: ND |
I have no clue. But yeah they took pics. I just told them I had been overweight since I was 8. and I'm 19 now...I just said that my mom had gastric bypass and any diet she had ever been on...I had been on.
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07-03-2008, 03:22 AM
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#15 | | I Luv Smileys :)!
Join Date: Oct 2007 Age: 35
Posts: 486
City: Birmingham State: Alabama |
wow! u r blessed!
__________________ Surgery: 9/9/08 Goal: lose 123 lbs |
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