Called my ins co today to get a list of my exact requirements before approval would be considered. I was told that I have to have a predetermination letter before they will give me any information. Anyone else ran into this?

Thanks!!

A predetermination letter is what ur doctor needs to submit to the ins company to get approval foe the surgery. Normally it includes a letter of medical necessity stating why u need the surgery and how u could benefit medically. They will also include lot of ur medical records. Its also called a PreD letter and u should ask ur doctor if they have faxed it to ur insurance company yet. Normally takes 3-5 days for them to decide if they are going to cover the surgery but could take up to two weeks. If they deny it don't get discouraged u can always request an appeal. Good luck!!

Thanks so much for the info! Could this letter come from my surgeon or does it have to be from my primary care doc?

Well I work for my primary doctor so I wanted to sumbit my own approval request (I'm totally OCD lol) but my insurance company (bcbs Arkansas) said my surgeon had to sumbit it. I think normally the surgeon submits it. Don't be afraid to stay on top of ur docs to make sure they are doing what they are supposed to for u.

Thanks again! Calling tomorrow to get this ball rolling!

Good deal! Good luck girl!!