ARGH!

[keystone28 18]

So I agonized over having this surgery for two years, trying diets, working out etc. Finally decided to do it, & was all set up to have my surgery on February 4th, but my new insurance BCBS Anthem as opposed to Empire BCBS that my company had last year, denied my surgery 3 days before I was to have it! We are in the appeals process right now, but it is sooooo frustrating! I was so mentally prepared for this, I had set up my FMLA, sick time, my wife took a weeks PTO to be there for me, we shifted our lives around for this moment and now it's just turned into a "sometime soon" scenario.

Anyone else have anything like this happen to them?

[nyc8dove 40]

So I agonized over having this surgery for two years' date=' trying diets, working out etc. Finally decided to do it, & was all set up to have my surgery on February 4th, but my new insurance BCBS Anthem as opposed to Empire BCBS that my company had last year, denied my surgery 3 days before I was to have it! We are in the appeals process right now, but it is sooooo frustrating! I was so mentally prepared for this, I had set up my FMLA, sick time, my wife took a weeks PTO to be there for me, we shifted our lives around for this moment and now it's just turned into a "sometime soon" scenario.

Anyone else have anything like this happen to them?[/quote']

Wow...that's scary and very frustrating!! My insurance may shift around the time I should be eligible to request for authorization. I am very anxious about this...

[banditchic 83]

I had everything in order to have my surgery in January, but was denied. I was then approved for Feb 4, and rescheduled everything (work, kids, hubby's work) for the 4th. Then my surgeon had to go out of town last minute! So...now I am scheduled for feb 18, and ONCE AGAIN have everything rearranged! I'm keeping my fingers crossed! Best wishes to you. Hope it all works out.

[keystone28 18]

Yeah, i made the mistake of calling Anthem yesterday, and they told me it had been denied as "not medically needed". So i got myself in a really bad mood, lifted something the wrong way at work, and knocked my back out of whack.....Stupid move Keystone! then, I come to find out from my doctors office that theyre still working on it, and would I please stop calling the insurance company? Because you're messing things up mr. miller. So I'm letting them handle it. it may end up that i have to go through the whole 6 month weigh in period, and if I do, then so be it, but I'd rather do it right now if I had the choice.

[nyc8dove 40]

Yeah' date=' i made the mistake of calling Anthem yesterday, and they told me it had been denied as "not medically needed". So i got myself in a really bad mood, lifted something the wrong way at work, and knocked my back out of whack.....Stupid move Keystone! then, I come to find out from my doctors office that theyre still working on it, and would I please stop calling the insurance company? Because you're messing things up mr. miller. So I'm letting them handle it. it may end up that i have to go through the whole 6 month weigh in period, and if I do, then so be it, but I'd rather do it right now if I had the choice.[/quote']

I hear you. I had to do the 6month weight in period too with healthfirst. I'm month 5 now, finishing up tests....uggh!!!