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really?

So I have done my 6 months of time which included PCP supervised diet, 4 meetings with a registered dietician, met with my surgeon, met with psych, met with my surgeons dietician... Every hoop I have jumped.

Now my surgery is scheduled for July 29 the and pre op for 18th. Awesome right!! Well my coordinator said that July 1st she sent in paperwork. I checked with my insurance July 5th and nope nothing. Granted it was a short week...

So my insurance lady I talked to call early Monday and they said they would fax everything on the 8th... Well I just got informed that they sent it in yesterday morning.. My insurance lady said the utilization team hasn't entered it so we have it as pending but once it gets entered it shouldn't take long for an answer... OK great but they technically have 14 days to decide which puts me really close to surgery.... And what if they deny me then what??? Should I move everything back if I don't hear before my preop date?? Should I go ahead with preop and start my liquid diet and pray it happens. I know if I did my liquid diet for nothing I would be super angry!!!

Has anyone else gone through this?? I am so mad cuz if she would have sent it in on July 1st I would have had extra time maybe even to appeal a denial..

Sorry for the long rant I am beyond annoyed!!

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I would do the pre op diet anyways because you would be even madder if you don't do it and then you do get approved in time but then still can't have the surgery because you didn't do the stupid diet...just a thought. Good luck! :)

Definitely do the diet as planned, and keep your fingers crossed about the approval. If you have done everything the insurance company has asked you to do pre-op, and it sounds like you have, then you should have no problems getting approved. And, you definitely want to have the diet started when you get the approval notice. Otherwise, if you don't do the diet now and you get approved, you will have to reschedule your surgery for later. The worst that can happen if you don't get approved---you do the diet and lose a few pounds on the diet. Stay positive and best, best wishes to you!!

I agree with the others that you should go ahead and do the diet. The pre-op diet is not a big deal. The time you spend on it is less than a blip in the course of your life. Try not to focus on it. It is just one more box you have to check off before the surgery.

I would go ahead and do the diet because if worst case scenario, then at least you will be sure your liver has shrunk which is safer for surgery. :P

My insurance company approved me in about a week (CIGNA) so hopefully you will hear soon.

I used to be a utilization review nurse. It will go through - don't worry. Your doctors office will be on top of it and would have already brought up any red flags should there be any. As long as you are sure it is covered on your insurance plan and you meet the criteria - you should be fine. FYI - keep calling - sometimes your kind pestering can cause someone to take an extra step and push things through a little faster!

Good luck - you are getting ready to take the most amazing adventure!!!!!

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