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"Ain't nobody got time for that"

By DebDUtah

· 663 views

It has been awhile since I blogged, I think that is because the snow finally melted, yeah!!! Ok back to the reason for my entry. For those of you who have not followed me or know where I am....I am currently in the last 3 months of my pre-op diet and I am losing weight. Cool right, but what is not cool is my surgeon's insurance specialist not communicating and when she does it is obvious she is clueless......."Ain't nobody got time for that!"

 

I have emailed her repeatedly, giving her in excess of 15 business days to respond, nothing. I have patience but I do not have time for being ignored. And when she does respond it is like she has no clue what my insurance coverage is, or what my requirements are! The last straw came the other day when she told me that I had to see a doctor every month for six months (when my insurance requires 3 visits in six months). I know because it is spelled out in the plan, I pointed this out and she said oh sorry my mistake! Really, are you serious? I have no patience for this, the hoops I am jumping thru seem so tedious and I am determined to do it right the first time. So the next email I had a time sensitive question (which I have called and left her 4 messages on in the last 4 weeks no call back also) and guess what she NEVER responded. It had to do with me having the option of changing insurance coverages, well I had it so you know what I emailed the surgeon directly. Now we will see what happens next.....either they will hate me all around or they will appreciate the heads up!! Either way it needed to be said. Do people not get it that this is the BIGGEST thing to happen in our lives short of just a few other things in life..... AIN'T NOBODY GOT TIME FOR THAT

 

Ok I feel better now :) No one is standing in my way of accomplishing this.

  •
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    4 Comments

    Recommended Comments

    Guru in Training

    melody2

    Gastric Sleeve Patients

    I encountered the same thing with my patient advocate. Very nice lady but gave me wrong info a few times and lost my paperwork. I left several voice mail messages that were never returned. I finally resulted to email and when she didn't respond I forwarded to the program manager. In the end, she finally responded and everything worked out. I can only imagine the number of questions she receives daily. My surgeon is one of the best and I think my patient advocate was just overloaded.....it's a busy office.

  • Quote
    • Junior Guru

    SqueakyWheel&Ethyl

    LAP-BAND Patients

    I can relate to your frustration. Fortunately, my surgeon's office runs like a well-oiled machine. My problem was my insurance company resisting to admit they would cover it.

    I suggest you just take over your checklist of things to do. Call your insurance company yourself (basically, just do her job) and send her copy on whatever must be kept in the surgeon's file. When you have everything done, THEN, camp out in her office while she faxes everything to the insurance company's Medical Director (the final approver). That's all she will be needed for.

    I did all the leg work myself and would just copy my Drs office on all of it. Sometimes, it's less stress to just do it all yourself.

    Good luck.

  • Quote
    • Senior Member

    shasha

    Gastric Sleeve Patients

    I can relate to your frustration. Fortunately, my surgeon's office runs like a well-oiled machine. My problem was my insurance company resisting to admit they would cover it.

    I suggest you just take over your checklist of things to do. Call your insurance company yourself (basically, just do her job) and send her copy on whatever must be kept in the surgeon's file. When you have everything done, THEN, camp out in her office while she faxes everything to the insurance company's Medical Director (the final approver). That's all she will be needed for.

    I did all the leg work myself and would just copy my Drs office on all of it. Sometimes, it's less stress to just do it all yourself.

    Good luck.

    Yes...how true!!!!!!

  • Quote
    • Expert Member

    sugarmoma

    LAP-BAND Patients

    yes sometimes we have to be our own advocate I know i did I new before they did that i was approved

  • Quote
    • Guest
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