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Still waiting for insurance approval - it's been 14 days



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My doctors office submitted all of my paperwork to my insurance on July 21. My insurance carrier said it wasn't received until the 25th. I called them on the 26th and they said that it takes 10 business days for them to review my case. I called today (the 10th business day) and I was told that my doctors office should have submitted it earlier because it can take weeks for the approval.

Here is my dilemma. I just had my pre-op appointment at the hospital on Wed. August 7th. I am supposed to start my 2 week pre-op diet on August 12. My surgery is scheduled for August 26th. But my insurance is dragging its feet. I would hate to have to start the liquid diet and have everything delayed because I am simply waiting for insurance approval.

I started this process in November of 2012. I have had 6 consecutive appointments with my pcp, an EKG, 1 intro meeting, a psych eval, 7 monthly bariatric meetings, nutritionist meetings, medical clearance for surgery, an upper GI, blood work, an ultra-sound, a meeting with the PA and a Meeting with the surgeon. I am sure their is a handful of other things that I missed. I made sure I dotted my I's and crossed all of my T's. Why is this taking so long? Argh! I am so frustrated!

Has anyone else used Iron Clad Insurance (Through the Boston Local 7 Iron Workers Union). I have Tufts as the carrier. Any input as to how long it took for the insurance approval would e greatly appreciated.

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OMG< OMG< OMG.........WOOHOO! I got the call this morning. I got my insurance approval!

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OMG< OMG< OMG.........WOOHOO! I got the call this morning. I got my insurance approval!

Congrats

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That's wonderful news! I was on pins and needles while waiting to hear back. Once I got approval, I felt elated and scared senseless at the same time. Good luck to ya!

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Yay! Congrats!! Very, very exciting!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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