Question:
Has anyone dealt with Highmark BlueCross/BlueShield ??

I've heard that some ins. companies give an answer for this type of surgery in a matter of a couple of days, its been alittle over a month and I'm still waiting.When I call they just tell me its before the review board.Does anyone know how long the "review board" takes? And has anyone ever used Highmark Blue Cross/Blue Shield? Please let me know...I am really excited about getting the surgery...Thanks, Gail    — Gail W. (posted on August 14, 2002)


August 14, 2002
I had them and it took 1 week for approval. Perhaps it is taking longer because of the popularity of the surgery? Why not ask what's taking so long and see if you can speak with someone other than customer service? Good luck and God Bless!
   — Kimberly L.

August 14, 2002
I used Blue Cross/Blue Shield but not Highmark and I was approved within three weeks. With it being summer they might be backlogged. I will keep my fingers crossed for you
   — Lynn M.

August 14, 2002
I had my BPD no DS on June 3, 2002.. Highmark has paid every dime of my surgery costs, and for every visit with my surgeon. They would not pay for the nutritionist visit or the psych evaluation. We submitted first for the lap band.. they took 30 business days to deny me, then another 17 business days to deny the appeal. We submitted for the BPD, I was approved in 6 business days and had surgery 2 weeks later. The reps really are very nice, at least from my experience, but medical review is S L O W. More details in my profile. I wish you all the best! ~Peace
   — Joscelin

February 17, 2003
Gail, What was your final experience with Highmark BC/BS? I have Highmark BC/BS and my predetermination case was just filed Friday, Feb. 14th; I'd be anxious to know your experience. I'm having the open-RNY.
   — dotyel




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