biskit76

First I got a denial letter from insurance. A few days later I got a second letter saying the denial had been reversed and surgery was authorized. I waited 7 weeks to hear from my doc who is 4 hours away. I finally called to say what the hell this is taking too long. They said they only had the denial, they did not receive the authorization. The admin assistant also said, oh yeah your paperwork has been on my desk I just didn't know what to do because I hadn't heard from our insurance specialist either. I had to scan and send her my authorization from Cigna. None of this sounds normal and it feels like they're giving me the run around for some reason. I would love some advice how to deal with this because my instinct is to run as far away from this doc as possible and even start over with someone else if I have to.

So just to rant and get this off my chest even if it's just on the internet... I had my final supervised visit on July 27th. Monday will be 7 weeks since I've heard ANYTHING from the doc. I got two letters in the mail at the end of August. The first was a denial from insurance stating there was missing info submitted from the doctor and the surgery was not medically necessary. I understand that is pretty standard language for the first submission. The second letter was dated a day later and stated that after review the surgery was approved and was medically necessary, but this was not a guarantee the surgery would be covered. Since then, radio silence from the doctor. They have not contacted me about lab work, officially starting the LRD, nothing. I have been trying on my own in the meantime and lost 12 pounds in those 7 weeks but today I gave up and said F it. I've had pizza and chocolate today. Regardless if there's some kind of insurance issue or a backup at the hospital I think it is really unprofessional to leave someone hanging for this long. I see everyday people in our facebook group who started the process after I did and are getting their dates left and right. Really discouraged and about to give up at this point. Also, I have to drive almost 4 hours to this doctor because I need a hernia repair at the same time and my doc here referred me there. I'm not in a rural area either. We have plenty of hospitals and universities here. Again, about to throw my hands up. Thanks for reading my rant.