I already posted this on the Revision and Insurance forums. Since there is more activity on this forum thought I'd ask here...
Just wondering how long should it take until I get my answer from them for my revision from the Sleeve to RNY?
I live in Oklahoma. This is going in as a medical necessity due to my hiatal hernia severe acid reflux. Since this is November would like to have my surgery before the year ends.
Time lines for a response to a request for a prior authorization are governed by state and federal law. Which laws apply depend on the funding mechanism for the employer's plan (self insured vs fully insured). The only way to know for sure is to call BCBS at the number on your ID card and ask about your specific plan.
Height: 5'7". HW: 299, Program starting weight: 290, SW: 238, CW 138 - 12 pounds under goal!
I am in Oklahoma as well!
No good advice except for what was already said. Call the number on the back of your card. I want to say that BCBS has to respond in like 15 business days with approval, but I'm not sure, and I have BCBS of Texas, so that might make a difference as well.
The customer service people are usually pretty good with answering questions though, they were very patient with me.
Height 5'5" HW 260 SW 251 CW 141.6 (2/27/18)
RNY 5-16-16 Pre-Op 9lbs, M1-18.5lbs, M2-18.1lbs, M3-14.8lbs, M4-10.4lbs, M5-9.2lbs, M6-7lbs, M7-6.2lbs, M8-8.8lbs,M9-7.8lbs, M10-1 lb, M11-.6lbs, M12-4.4lbs
Seems about right. The doctor's office told me they have around 21 days to answer. I just wanted to get an idea from you all.