BCBS Anthem in Ohio - question?

I wrote an earlier post but I had no replies... so I am trying again.. :)


Do any of you have blue cross blue shield Anthem & had a revision or trying to have a revision?

Hi there, I have BCBS anthem of Ohio, but I did not have a revision surgery, just the normal sleeve.  They approved me for surgery within 2 days of submitting a claim though, and they were very helpful and friendly through the whole process (crazy, right?).  (mind you this was after a 6 month physican assisted weight loss program, which they require).

 Wow that was wonderful timing!!!!
Strange to read the words insurance provider & helpful together LOL.

Ty very much :)

Hi, I have Anthem BCBS in Ohio and they covered my lapband removal and to have the sleeve at the same time. Good Luck!

 Oh good news!!!
Ashley how fast was your approval?
&
May I ask what comorbs you had? Or what was the reason behind your revision?

Submitted on 4/26 was officially approved on 5/2..they originally approved the removal but denied the sleeve but then went back 24 hours later and approved the sleeve. The reason they denied it was because when I talked to my surgeon about revising my BMI was only 39, when I actually went for my history and physical with the surgeon before submittig my BMI was 41. If I would have still been below 40 BMI it wouldn't have been approved. 

I didn't really have any comorbs, the ones they put were GERD/Acid Reflux which I only had when the band was too tight. Reason for the revision was the band would get randomly tight which lead me to get constant fills/unfills and vomiting, etc. The surgeon felt it would be best to have it removed to prevent damage from happening and revise so I could maintain what I loss with the band.
Good Luck! If you have anymore questions feel free to ask.

 My band actually slipped due to coughing nonstop for about 4 1/2 months. I had whopping cough.
Once it slipped I ate LOTS 'cause my stomach is larger.
So now my Comorbs & reasons are;
Athsma 
47 bmi
And excess scar tissue around the band
My surgeon also recommended me


My surgeon submitted to the ins co on the 9th.
Now I must find patience lol.

Hope you hear something soon! Fingers Crossed!! When I had called to check on mine they stated they had 15 calendar days to give me an approval/denial so that may be the way it is with everyone. Keep us posted.

 My doc said to wait 2-3 weeks before calling sounds like your 15 days is right in that plan.

TY :)