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Insurance Needs To Do A Better Job!

AJDuke

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I thought that I had done all my homework in May on the subject of insurance and what they expected of me. I thought wrong!!! When I called insurance company in May they told me that the VSG was covered, I needed a psyc evaluation, a nutrition appointment, a normal pap, some blood work, an upper gi and a recomendation from my pcp. My surgeon's office also called to make sure that I have everything in place that I need, and were informed of the same things as myself. Today I called the insurance company to see if I had been approved for surgery, to my surprise I had not! I have not been on a supervised diet for 6 months. I do not find this surprising, because I lots of insuance companies require it, but I was not informed of it the first 3 times that I called to make sure of coverage. When I asked about it today, it is the doctor that is reviewing my case for the insurance company who reccomends the supervised diet. My surgeon has set up a conference call to speak with the Insuance company and their doctor reviewing my case. Please say a little prayer that this gets taken care of. On the bright side I have been on a supervised diet for 2 months and lost 13lbs.! YAY ME! Those two months will be part of my 6 month diet if I have to do it.



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I am also to be supervised for 6 months before surgery as well as talk to a case manager with the insurance co once a month. Along with that I have to see the weight doctor once a month and all the other stuff you've had to do.

I am praying that at the end of the 6 months, the insurance co. doesn't come back and say i didn't do something right or that i'm missing stuff. It's so annoying! I just want to be able to have everything go smoothly.

Keeping my fingers crossed for you :)

Holly

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