Welcome guest, you have 1 message! Register

Results 1 to 6 of 6
  1. #1
    Gastric Sleeve Member jim1968's Avatar
    I have had a gastric sleeve.
    Name
    jim
    Surgery date
    04/08/2015
    Surgeon
    Dr Woodard
    Join Date
    Jul 2014
    Last Activity
    04-13-2015 03:24 AM
    Location
    Illinois
    Posts
    38
    Said "Thanks" 0 Times
    Was Thanked 2 Times in 2 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Whoo whoo! BC/BS appeal overturned

    I just found out that my previous denial was overturned with help from Lindstrom Obesity Advocates, they were awesome. BC/BS denied my claim after going through all the pre-clearance requirements. My surgeon even did a peer to peer review but that did not help. I learned about Lindstrom from this forum and my doctors office as well. I paid 900.00 and 60 days later I'm approved.

    I should have my surgery date soon hopefully by early April.

    Here is there web site in case your struggling with your insurance company.

    Bariatric Surgery Insurance Approval - Overturning Bariatric Denials


  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member Lee6Lee's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/22/2014
    Surgeon
    Dr. Elias Ortiz
    Join Date
    Aug 2011
    Last Activity
    02-20-2024 01:57 AM
    Posts
    1,682
    Said "Thanks" 206 Times
    Was Thanked 504 Times in 372 Posts
    Said "Welcome to Gastric Sleeve" 231 Times

    Default Re: Whoo whoo! BC/BS appeal overturned

    That's fabulous information. Please "bump" this thread once in a while (by adding a comment) so the frustrated or new people will be reminded. Thanks!


    "Lee, by "own it!" your daughter means that you should be proud of your accomplishment and understand that you deserve this. Not because you have to pay it forward or backward to justify your own benefits. She means that this is YOUR accomplishment, and accomplishing that for yourself is enough. You do not have to fix everybody. And you do not owe anyone for the benefits you have earned. They are YOURS!" Ann2

  4. #3
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Kathy
    Surgery date
    04/03/2015
    Surgeon
    Dr. Fernando Garcia
    Join Date
    Dec 2014
    Last Activity
    01-26-2017 05:19 AM
    Location
    Florida
    Posts
    96
    Said "Thanks" 15 Times
    Was Thanked 29 Times in 24 Posts
    Said "Welcome to Gastric Sleeve" 49 Times
    Blog Entries
    18

    Default Re: Whoo whoo! BC/BS appeal overturned

    Wow, good for you. I emailed Lindstrom when I first learned BC/Fl BC would not pay. Kelly Lindstrom called me that day, & told me that she thought I had a very good case, but said that she did not think I would need to hire her, as the facts spoke for themselves That speaks volumes about her integrity. I would advise anyone to give them a call if they are in that situation. I decided to self pay in Mexico next month. I know that Human Resources & B/C would have dragged on, & since I turned 64 this month, by the time anything was resolved, Medicare would be right around the corner. Best of luck to you.



    217.....Surgical consult
    202.....Day of surgery..April 3, 2015

  5. #4
    Gastric Sleeve Member Bunnieyj's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/28/2015
    Surgeon
    Dr. Paul Lin
    Join Date
    Jan 2015
    Last Activity
    05-22-2015 11:08 AM
    Location
    Maryland
    Posts
    49
    Said "Thanks" 7 Times
    Was Thanked 17 Times in 15 Posts
    Said "Welcome to Gastric Sleeve" 28 Times
    Blog Entries
    1

    Default Re: Whoo whoo! BC/BS appeal overturned

    Congratulations you must be ecstatic. I know that feeling all too well because 5 years ago they denied me. The only difference was instead of filing an appeal I just gave in and now 5 years later I've experienced more ailments which would never have occured had I did what you have done!!! Wishing you success from this point on.

    ~B



  6. #5
    Gastric Sleeve Member mem222's Avatar
    I have had a gastric sleeve.
    Surgery date
    12/22/2014
    Surgeon
    Dr. Duffy
    Join Date
    Feb 2014
    Location
    CT
    Posts
    1,076
    Said "Thanks" 2 Times
    Was Thanked 313 Times in 256 Posts
    Said "Welcome to Gastric Sleeve" 270 Times
    Blog Entries
    2

    Default Re: Whoo whoo! BC/BS appeal overturned

    Great job, I hope that you do well! What a great service they provide! The insurance companies are ridiculous!



  7. Gastric Sleeve Surgery With Weight Loss Agents
  8. #6
    Gastric Sleeve Member liveherenow's Avatar
    I have not had a gastric sleeve.
    Surgeon
    Dr. Lilibeth Sanchez-Geswaldo
    Join Date
    Mar 2015
    Last Activity
    05-02-2015 09:58 PM
    Posts
    11
    Said "Thanks" 7 Times
    Was Thanked 1 Time in 1 Post
    Said "Welcome to Gastric Sleeve" 62 Times
    Blog Entries
    5

    Default Re: Whoo whoo! BC/BS appeal overturned

    Fantastic! I am so happy for you. It gives us all inspiration. What a great service!

    I cannot change the direction of the wind, but I can adjust my sails to always reach my destination. - Jimmy Dean

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •