jtickle

Drummer girl- my surgery is scheduled for May 6th, but my insurance hasn't approved either. Even if I get approved I am having my surgery in June. My insurance requires a date of service in order to complete my file. I am confident that I will get approved, but I do have the fear that I will be denied even though I have met all the requirements and then some.

My A1c was 10.8 in March. The surgeon wants it lower than 10 in order to do surgery. I had rechecked a couple of weeks ago and it was 9.8. They did my chart review and I passed. Now I am just waiting for insurance company to give me an answer. I called them and they said it would probably be Monday before they have a decision. I am confident I will get approved but I still worry about the denial stuff.

I am glad it all worked for you. I just called the insurance company to check on things and they told me that the turn over time is 3 to 5 days. She said they should have a determination on Monday. I'm getting nervous, I'm confident that I won't be denied, but I still have the fear that I am going to be denied.

Insurance companies can make something as simple as typing and printing a letter so difficult. It probably wouldn't take 5 minutes to fix the issue. I hope they come to a resolution soon. They send us to these to psych evaluations so we can talk about the things that stress us. In my experience it been the doctor's office and the insurance company causing all my stress. They gave the insurance a dummy date of May 6th. Hopefully my surgery will be sometime in May even though I was thinking June. They have three surgeon's where I go so maybe I will get lucky.

Called UHC this morning and the surgeon's office gave the insurance a dummy date of may 6th. Maybe I will get lucky and have surgery in May. I will have to have later in May because I don't get paid until the 14. I have to buy a bunch of mandatory protein drinks and vitamins. They call it the starter pack. It's 250 dollars. That should be all I have to pay out pocket, seeing that my out of pocket and deductible have been met.

After waiting nearly three weeks for my surgeon's office to submit my info to insurance, the day has come. My info was submitted to insurance today. Now I get the satisfaction of knowing how stressful waiting on the insurance company to do there job is. With my list of comorbidities, I don't see how I could be denied, but I am sure it happens. I hope everyone else has a stress free wait and I hope we all get approved!!!

Finally after being told that my info had been submitted four times. It was actually sent to insurance this afternoon. I have a whole list of comorbidities, so as of right now I am feeling pretty confident.

My A1c was 10.8 when i did my new patient labs. The surgeon wanted less than 10 for surgery. I lost 7 pounds and it went down to 9.8. Thank goodness. It supposed to be submitted to insurance this week some time, hopefully.

I have been fun all week waiting for my surgeon's office to submit my info that has been ready for two weeks. I was told yesterday that it would be submitted before the end of the day. So I called the insurance company this morning to see if it had been sent in. Of course, it hadn't. The insurance rep wanted to know what the hold up was, so she called the doctor's office herself. Now I am waiting for the insurance coordinator to call me with reference number to my case. I hope I have approval process that isn't to long. Now that I have annoyed the heck out of the doctor's office.

I am sorry you were denied. Can you appeal?

I called the surgeon's office today and my info will be sent to the insurance company today. I am so excited! Hoping for a speedy approval.

Some insurance companies need a date of service along with your info. I have UHC and I had surgery on my back in February. A soon as they found out a date of service, they actually went faster giving me a decision.

I have UHC and they will tell me 15 days, 21 days or a month. Just depends on the rep you talk to. It's took about a week or so to get approval, but it was special type surgery for a spinal cord stimulator. It had to have two approvals. I am hoping for a speedy process for my wls.

I'm waiting for my surgeon's office to send my stuff to insurance. Once they do its on. I will call the insurance company everyday to check on it. I did it with my last surgery and no one every got mad at me. I figure I pay a small fortune for my insurance, so I can call when ever I want.

I called the surgeon's office and my case will be sent to the insurance company on Friday or Monday. I feel little better now, just a little. Probably going to be anxious until I know it's in the insurance company's hands.

I am doing to my best at the waiting game. I usually call them just once a day in the afternoon. I would love to constantly badger them but I am trying to be polite. This is honestly the worst part of the whole process.

I am doing alright I guess, I am finding it difficult waiting for the surgeon's office to submit my info to insurance. My chart was only in medical review for two days. I have been told three different stories by the same person. First she said it would be submitted last week, turns out the insurance coordinator wasn't even there last week. Then she told me it would be before the end of the week, now she says sometime next week. I try not to call and bother the clinic, but I am just so frustrated.

I actually don't mind the insurance company, they told me I could call anytime I needed to. They are very nice. I am just mad at the surgeon's office for not having a straight story. If it going to be next week that's fine just tell me that. I am very polite when I call the doctor's office and the lady I always get stuck talking to is very rude. I am trying very hard to be patient, but I have anxiety issues an they are starting to bother me. I am hardly able to sleep I am so worried about all this and I am finding it very difficult to stick to preop diet because I am wondering if it is going to worth it.

I was told last week that info had been sent to the insurance company. Come to find out that insurance coordinator was not even there last week. So I called them yesterday and was told it would be before the end of the week. I was fine with that I understand she was out all last week. I called today to check on it and was told it could be next week. So what is it this week, next week, maybe sometime in the near future? I am so ticked off right now. My expensive insurance is paying their salaries I expect to be treated with respect not like they are doing me a favor.

Butterfly2014- good luck with your surgery this week. My paperwork is going to insurance this week, hoping for a speedy outcome.

I knew you could do it. I have been on the liver shrink diet since March 3rd and my surgery hasn't even approved yet. I will admit it I have fallen off the band wagon for the last couple of days. I am really stressed about my case being submitted to insurance this week. I am going to get right back on it tomorrow, it's a new day.

My info should be to sent to insurance sometime this week. It would of been last week but insurance coordinator was not in the office. Now she is playing catch up. I feel so bad because I am fussing to everyone about having to wait an extra few days to be submitted and many you guys and gals have to wait 3 months, 6 months, or even longer to complete your journeys and I just started mine on March 3rd of this year. I am very anxious about this whole ordeal. I want to get excited but I am afraid I am going to be denied. I meet all the qualifications and I have a whole laundry list of comorbidities. Is it normal to be anxious, nervous, and excited all at the same time? I wish everyone well.

I had an EGD a week and a half ago. Mine was a 700 dollars. I live in Northwest Arkansas. I didn't have to pay anything up-front. My deductible and out of pocket has been met though.

A benefit exclusion means the insurance company will not pay for it. Appealing won't even do any good because the sleeve is an excluded benefit.

I had a similar situation. My doctor was telling me I needed a 6 diet and of course I argued with them about it. I finally got my requirements in writing, sure enough no diet or psych evaluation. Just have to go to a bariatric center of excellence, be over 18, and bmi over 40. My info goes to insurance sometime this week. I started everything on March 3rd. I am excited but worried I am going to be denied. I guess these are normal feelings.