dillon1205

Hey I am from North Carolina. My surgery is 3/13/09. I am very excited and nervous all at the same time. Just a quick question.... I dont have to be on any preop diet other than the day before surgery liquids only. Do you all think that it helps alot being on the 2 week liquid diet.

When I went to the free weight loss clinic back in November I really liked the people from Dr.Enoch's office. Then when I went for my first visit I felt they only want your money. I went through all of the tests, work ups, so on and when his office filled my insurance in december it was denied. That was ok I was prepared for it. What I was not prepared for was that his office doesn't help much(other than print outs)with the appeal process. It is all on you. Well long story short i won my appeal and I am schedule for surgery next week. I went to their office this week for a pre-op appt and realized that I just do not like the people there. When I arrived I walked to the window she didnt even look at me then she said " I need your copay" I told her i didnt have one she typed on the computer, handed me a paper and then i sat down. Am I going to have to deal with this for every fill...........:confused:

I am also having my surgery 3/13/09. I am like you kind of excited to be having it on friday the 13th. I am not in anyway scared of the date but I am scared to death in general. Am I the only one who feels this way. I think I am most scared that I am going to fail. And failure is just not an option.

My surgery is scheduled for 3-13. I am very excited, nervous,scared..... I also think that the March Melters is GREAT!

****Update**** My denial has been over turned by my insurance and I can now go on with the surgery. It was so exciting and worth all of my trouble when i went to the mailbox on Saturday and my approval letter was in there. Now I just have to schedule my surgery. Here lies my problem I really dislike my surgeon's office. The surgeon is nice but the rest of his office annoys the mess out of me. My dilemma now is do I keep going there b/c I have paid the $400 so far or do I pay more money and find a Surgeon's office I really like??

From what I know each pre operative test is all billed to you insurace at the time of service. The surgery is a completely different expense all together.

I dont know if this will help you at all but I was denied twice b/c of my physchiatrist. the first time there wasnt enough in my letter from him and the second time I think he said to much about things not even related to my weight. Even though he was the one to mention the surgery to me in the first place a few months ago I was still denied. I have been seeing this physchiatrist for 8 months and he knows me better than the insurance people and it was still a no. Everyone just keeps telling to me appeal appeal appeal. Keep your head up if it is meant to be it will be.

New Update*** Called insurance today and was told that my psychiatrist now needs to do the peer to peer with the insurance company's dr. I am just so confused. Why all these peer to peers? Are they jus making sure I can go through it? I was diagnosis with bipolar earlier this year and I am hoping that is not what is holding me up but I am sure it is........ Waiting stinks......

UPDATE**** My surgeon's office resubmitted the all the info Monday of this week. I have called the insurance company everyday this week and today I was told that their DR called my surgeon for a peer to peer yesterday and have gotten no response yet. My surgeon's office is moving into a new building TODAY (of course, another hoop to jump through) and he will not be avaliable until after 3pm today. I just really hope it all works out. Does anyone know about these peer to peers and if its a good thing or what? Keeping my fingers crossed. I want this surgery by the end of the year. I have a $5400 deductible that starts over jan 1. aaahhhh

I filed with my insurace bcbs nc last monday and was denied on wednesday. When my surgeon got the denial letter it stated my denial was b/c my phsycologist letter was not detailed enough and that was the only reason for the denial. My surgeon said that they will now resubmit the info with a new letter does this now mean that I will be approved b/c I have made the needed changes or can they come up with a new reason for denial even though there were no other reasons listed??

:eek:Thank you that is what I am hopeing too. That all that is needed is so additional info from my dr. Does anyone know that social anixety b/c of my weight would help with the "medically needed". I just really want to be proactive and get all the right wording and weight symptoms into the insurace so that they know I really do medically need this mind and body...

My BMI is 48. And my insurance states that it just needs to be higher then 40 for 5 years and mine has. I hope it is just a clerical error. I will get my letter in the mail this weekend hopefully go from there with what I need to be excepted. They just submitted my paperwork on Monday and it was already denied this morning. So frustrating.........

I called into my insurance company today to check on my approval before the holiday to find out that I have been denied. They said that the only thing they could tell me was "not medically needed". So how can I prove it is needed. Should I get my PCP and surgery DR to help the the appeal letter. Does anyone else have BCBSNC and been denied? How many people usually get denied and the win their appeal? I am just so confused and want to get the appeal process going.