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

RE SUBMITTED!



Recommended Posts

My surgery was denied two months ago for not enough pre required visits, my insurance originally told us I only needed 4, 1 each month they denied within 3 days stating to my WLS office I needed 6 months of visits, I finished and they resubmitted yesterday! I called my ins today it is being reviewed and they said it can take up to 10 days, not to bad. But I'm so hoping they don't find or try something else stupid saying I need to do or I'm not qualified etc! I want to be revised from band to sleeve I'm so done with being overweight!!

Share this post


Link to post
Share on other sites

Oh wow, I didn't think revision surgeries required the supervised diet stuff... I'm sure it varies by company. Anyway, good luck to you! :)

Share this post


Link to post
Share on other sites

Good luck!!!

Share this post


Link to post
Share on other sites

We werent sure either! I'm still unsure just going with the flow!! Thanks for the good lucks! I'm hoping by Wednesday to hear something, I will be calling! :-)

Share this post


Link to post
Share on other sites

We werent sure either! I'm still unsure just going with the flow!! Thanks for the good lucks! I'm hoping by Wednesday to hear something' date=' I will be calling! :-)[/quote']

Definitely call them, maybe even mention to your insurance company that this is a revision surgery and verify that you have to go through this process for a revision. Things get messed up all the time and I'd hate to wait for no reason! Good luck again, and keep us posted!

Share this post


Link to post
Share on other sites

Well I've already waited the 6 months and done the appointments! I'm following the doctors offices insurance coordinators instructions even tho the process seems flakey. However, It wasn't communicated right the first time after 3 months we submitted after the 4th appointment and when I heard I needed two more appointments for 2 months I was CRUSHED! But I gotta do it! I'm so sick of being in this body tho! Even if I get approval I have to wait till June 10th for surgery, earliest opening because they have to do it at a blue distinction center (which is the actual hospital) and not the surgeons hospital where I was banded, I loved it there tho! But they only do surgeries at the hospital ever other Monday and Memorial Day is in there and the other two Mondays are booked! So, ugh for waiting!

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 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

    ×