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Sandy104

Gastric Bypass Patients
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Everything posted by Sandy104

  1. Hi, I've been stalking (in a nice way) you all for tidbits and insights in what to expect and a time-line of events. This is my 3rd attempt to get weight loss surgery throughout my adult life. The first 2 attempts got my hopes up and then boom, insurance denied. So I work for walmart and saw something about thier Center of Excellence and weight loss coverage and thought I'd give it another shot. So because of covid I wouldn't have to go from Cincinnati to Cleveland to have this done, which is the closest center to me. I have an exemption they call it. So they found me a dr in cincy. I have an appointment 7-16. Communication between myself and insurance is basically a new experience for me. I don't typically see drs. Or had anything major happen to me in years. I have a letter that says I have a prior authorization but they have to agree on the cost. Anyone gone through this? I want to believe it's finally going to happen yet still apprehensive.
  2. Sandy104

    Negotiations $$

    Thanks! I guess I never really thought about appealing a denial. I have a letter from the insurance saying I have a prior authorization, they just need to agree on the price of the surgery. I haven't heard anything for 8 days. I am going to give them a few more and contact them on my next day off when I have time to play phone tag. I just never know what to say. Guess I'm going to learn. Lol.

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