SelyGee
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Everything posted by SelyGee
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So I called my insurance co (AZBCBS) today and they said that my LAP BAND is considered an outpatient procedure however I CAN submit all my info for pre determinationm. I dont understand why my patient advocate would not do that from the beginning. Sometimes I feel like because I opted for a less invasive procedure they dont take it seriously. Or because It wont pay out as much as Gastric Bypass or Gastric Sleeve, Im being left out in the cold to fend on my own. Anyway I told that to my patient advocate and provided her the # for my insurance PrIor Auth department and she was a little shocked that I called. Yeah Take That!! Not giving up!!
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So today I got a call from my patient advocate (if we can call them that) It seems that they are considering the Lap Band as an outpatient procedure and my insurance (BCBSAZ) will NOT give authorization before the surgery. So where does that leave me? Turns out if I do go through with it they may not approve it and I will pay out of pocket!! After all the Dr visits and all the money spent, NOW they decided to tell me that! UGH!
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Was your BMI at least 40? Insurance companies stink, mine was rejected when first submitted. I felt the same as you, the exact same! My insurance company didn't think it was necessary. My Surgeon wound up dealing with them and I was approved. I will tell you though from my situation, they wanted a BMI OF 40 and 100 lbs overweight. Good luck!
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Reading some of the stories helps me look forward. I just submitted all my paperwork to my insurance company today. Let the waiting begin. Fingers crossed.
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Hello @Leoakie86. I feel you. I just submitted all my info to my insurance co. today and hopefully I get approved. I weigh 233 lbs but my friends say I'm not big enough for surgery. They don't realize that just because I look happy I feel tired all the time and my bones hurt. I'm only 31 and I shouldn't feel so crappy. My father and pretty much every male figure in my family has diabetes and that's not what I want for myself. Reading your post helps me to see and know that I'm not alone.
