frustrating

[teeny1202 71]

I went to the surgeon last week and he said the next time he saw me would be in surgery. He also did they would be sending out my insurance stuff and that they would have an answer in about a week. Me being inpatient called insurance today and they haven't even reviewed the paperwork to review yet. I know i am inpatient i just want a date. Thank you for letting me complain lol

[twindad 2]

hang in there.... i am sure he has a great office staff and they will get it through!

[teeny1202 71]

I am currently feeling obsessed with this. I have been flip flopping on wls for a few years and have finally committed myself to this. After making this decision i met with Dr the end of May and have done almost everything needed. I am scheduled for three more classes, two this week and last one next Monday. Was told when i started the classes last week that paperwork would be submitted. Maybe i will call office today

[bigred57 10]

So how does your insurance pay for this when it is cosmetic.

Just wondering because my insurance won't pay for this

[teeny1202 71]

I have a bmi in the 50's with 4 comorbilities so my Dr doesn't think approval will be an issue through insurance. I think insurance companies are looking at the savings in the long run with wls. We are hoping that this surgery will completely get rid of at least 3 of my comorbilities if not all 4. My insurance also reimburses for weight watchers as well as gym memberships.

[Ahealthyme2013 39]

So how does your insurance pay for this when it is cosmetic.

Just wondering because my insurance won't pay for this

It's considered medically necessary and not cosmetic by insurance companies when the patient has a BMI over 40 or a BMI over 35 with comorbidities ( health problems such as hbp, diabetes, sleep apnea etc.)

[bigred57 10]

Thanks

[PGee 318]

something similar happened to me too.......I'm preop, too--the best suggestion I have for you is don't sweat it.....I'm going on 2 weeks waiting for approval......with our BMI's, I have faith it'll happen

[teeny1202 71]

something similar happened to me too.......I'm preop' date=' too--the best suggestion I have for you is don't sweat it.....I'm going on 2 weeks waiting for approval......with our BMI's, I have faith it'll happen[/quote']

Have you heard anything yet? I still have no date but i do know why it's taking longer lol, apparently my insurance requires anesthesia pre approval before insurance will look at file. Hoping to know something within two weeks

[buplee 556]

Hang in there it took me 18 months and two denials before I was finally approved and sleeved.

[determined1103 22]

More than likely they will not put your claim through til your done with your done with your classes. They are probably insurance requirements. Stay on your insurance so they are prepared and ready to approve it when it comes. My doctor staff forget to put my claim through twice once all my requirements was complete. But I got to know my insurance claims department very well so when they finally submitted my claim on Tuesday it was approved on Thursday. My doctor office was surprised as well. We taught it was going to take at least a month. Now it seems like everything is moving too fast and I feel unprepared.