Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Stalking the insurance company



Recommended Posts

Ok so how many times did you guys call to see if you were approved before the final answer. Tomorrow will be a week since my case was opened with the insurance for approval- thinking about calling tomorrow just to check the status.

Share this post


Link to post
Share on other sites

I didn't call at all I received a letter. The first letter I was turned down. My doctor turned it back in and I was turned down again. By the third letter I was also turned down and finally went to the border of review and had to write a letter and then I was finally approved.

Share this post


Link to post
Share on other sites

No news for me yet. After my doctor submitted all required documentation- it took an additional week to get assigned to someone at horizon bcbs. Today is day 13 since it was assigned. They have up,to 30. Not gonna lie- I've been calling insurance and checking for an update every day. I have a lot of girls asking off this month and am trying to coordinate. I keep being told its under medical review. My Bmi is 37. According to insurance medical policy with a bmi between 35-40 I must have at least 1 co- morbidity. Out of the list they listed my Pcp included 5 in my letter to them as we'll as the surgeon. Still nervous I will get turned down.

Share this post


Link to post
Share on other sites

I was denied SIX times. I was banded Monday

Share this post


Link to post
Share on other sites

Ugh- I sure hope I don't have to go thru that!! If I have done everything an meet guidelines they nee to approve- sad to have to think about gaining weight to get my Bmi to 40- then they would without a doubt

Share this post


Link to post
Share on other sites

Hang in there and turn out okay.

Share this post


Link to post
Share on other sites

Hang in there everything will be okay.

Share this post


Link to post
Share on other sites

Well I talked to my surgeons office today. They called my insurance and spoke with the prior auth department. Still under review- they sent 27 pages of documentation- they were told they have up until the 16th to make a decision:( due to work and family schedules I was hoping to have this done the week if the 20th but will have to do a 2 week preop diet.

Share this post


Link to post
Share on other sites

Woo-goo I got approved!!! Called insurance this am and it was approved today!!! Surgeons office won't schedule anything until they receive their letter which will hopefully be next week!

Share this post


Link to post
Share on other sites

woohoo!!!!!!!!!!!!!!!!!!!!

Share this post


Link to post
Share on other sites

Officially received my approval letter yesterday. Faxed it to the surgeons office today and was told they should be contacting me in a few days to begin scheduling everything:)

Share this post


Link to post
Share on other sites

I don't understand these ins company's! We pay them! There suppose to work for us.. Not give us hell about trying to make our lives better!

Share this post


Link to post
Share on other sites

Woo-goo I got approved!!! Called insurance this am and it was approved today!!! Surgeons office won't schedule anything until they receive their letter which will hopefully be next week!

Did they ever deny due to no coverage? My current plan covers, and I was approved today. The problem is hat I have new I insurance as of July 1. I can't get scheduled until after that date. The new policy does not cover weight loss surgery. My husbands also does not cover it. I am so frustrated after six months of appointments and now I have no options.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 3 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×