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blue8eyes

Gastric Sleeve Patients
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  1. Like
    blue8eyes reacted to HuneComz in Scared of being denied....   
    This is a big worry for me, too. In my first contact with my surgeon's office I advised them that my insurance's website states they don't cover it unless pre-approved and that a coworker who needs the surgery much more than I do claims he was denied. My surgeon and his staff advised that they called and confirmed my insurance covers it, I have the insurance requirements to follow (only a 3 month physician/dietician supervised diet), I have taken all my tests, done all my blood work, etc. The surgeon stated that if you follow the insurance's requirements, they can't deny it. They either cover it or they don't.
    A month or two into the process, I had to self-pay for the sleep apnea test and I simultaneously received a notification from my insurance about a portion of the bloodwork not being covered. I contacted my surgeon's office again and said I am not in the position to pay out for these things if I will be denied in the end. I still had to self-pay for the sleep apnea test but they straightened out the rest and I have only paid my normal co-pays otherwise, but I am still worried. It took me a long time to decide I can't lose the weight all on my own and I will be very disappointed if my insurance denies me once I am to that point (which I anticipate being next month).
    I think we just have to have faith and trust in our surgeons. Good luck to you.
  2. Like
    blue8eyes reacted to Jen-2+1 in Scared of being denied....   
    My surgery is in a week and I haven't been approved yet. At my surgeon's office they schedule your surgery date the same day your paperwork is sent to the insurance company, so nobody knows that they are approved until after they have their date.
  3. Like
    blue8eyes reacted to Bonnie in La in Prepping today for sleeve surgery tomorrow.   
    Clear Liquids today, hospital arrival tomorrow @ 8:00AM. I'm getting a bit nervous ... I'll take some prayers please. Thanks!
    Sent from my SAMSUNG-SM-G900A using the BariatricPal App
  4. Like
    blue8eyes reacted to OutsideMatchInside in First lie!   
    I didn't have to "lie" because I really didn't tell people I was having any kind of surgery all and I had basically zero downtime so no one missed me. All my real friends know, so there is no lying to them, everyone else are just random strangers.
    You should really rethink considering it "lying". You are protecting your privacy from nosey ass people asking questions that are none of their business. We have HIPPA laws for a reason. Medical issues shouldn't be open issues for people to question, it is so impolite it baffles me that people ask these questions.
    "Good manners sometimes means simply putting up with other people's bad manners." H. Jackson Brown, Jr.


  5. Like
    blue8eyes reacted to WLSResources/ClothingExch in Scared of being denied....   
    "Scared?" "Fear?" I don't want to spoil your fun, but wouldn't simply "wondering" be easier? Even worse, maybe, just maybe, the people at your surgery practice know something? Maybe, when they tell you that they see no problem with coverage, there will be no problem?
    If I were starting anew, I'd be chirping about all the positive prospects and leaving the doom and gloom behind.
  6. Like
    blue8eyes reacted to busybeebug in Scared of being denied....   
    If you followed and hit the benchmarks your health insurance obesity medical policy requirements and it's a covered benefit, you should have no problems. Even if they find something to nit pick about, your surgeon can do a peer to peer review, if that fails, you and the doctor can appeal. You do have time to fight with the worst case scenario.
    Sent from my SM-G935V using the BariatricPal App

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