insurace denial.

[lala3613 39]

I have done my 6 month supervised weight loss and my DR submitted it to my insurance company. I have got a letter in the mail saying it was denied because it was pre existing and I have to have had the insurance a year. The year is on May 1st.

So my question is....

Can I resubmit next month?

Do I need to still go to my monthly Dr appointments?

Has this ever happened to anyone?

[JeffNNJ 111]

Your surgical coordinator should handle things like this for you.

[lala3613 39]

I am impatient. I got the letter yesterday/saturday and she isnt in the office.

Just curious if anybody has had this happen

[tb21872 31]

Talk to your patient advocate/insurance person in your Dr.s' office.

[ISleevedIt 379]

Awww...I'm sorry that this happened. I hope your doctor's office gets it straightened out so you'll be approved. Good luck!

[aquitenonnymouse 206]

I'm sorry that that happened to you! Impatience is hard in this process. Wait to talk to the bariatric surgery coordinator tomorrow. They will be able to help you and tell you your next steps! You'll get there!

[sharonintx 1,275]

That really bites! I can only imagine how disappointed you are. The good news is this - your dr's office is highly motivated to get you approved. A doctor may be the most caring, giving person in the world but the motivating factor is still money. They like to make money especially with the inflated prices they charge to insurance companies. Hang in there! I'd be willing to bet they find a way to get you approved.

[Tabby Closet 39]

I am impatient. I got the letter yesterday/saturday and she isnt in the office.

Just curious if anybody has had this happen

Hi Lala.. Sorry to hear about the denial.. But out of curiosity which insurance company are you with? I just started a new insurance.. And haven't been with them for a year.

[makemyownluck 785]

Resubmit after May 1st. Since you're in your pre-x period, they probably didn't review your file at all.

Keep doing what you were doing and tell the surgeon to resubmit May 1st

[makemyownluck 785]

Hi Lala.. Sorry to hear about the denial.. But out of curiosity which insurance company are you with? I just started a new insurance.. And haven't been with them for a year.

You can call your insurance and ask if you have a pre-existing waiting period. They can tell you when it ends (can be up to 2 years)