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Nervous !

I got my surgery date! It's October 8th.. if I get approved. My surgery will be in Pittsburgh with Dr anita Corculous ( not sure of spelling ) it's upmc magees woman hospital. I have upmc insurance and they told me it's covered with her at that facility. So am I automatically approved or what? I don't get it. I'm more nervous about not getting approved than surgery .

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  • I'm getting mine done at Magee also but with Dr. McCloskey. I also have Umpc Insurance and I called before I even did anything and they told me that they covered it but that didn't mean "I" was appove

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From my experience and what I've read on the forum, you usually don't get a surgery date until you've been approved. But why stress over it - call you doctor's office and ask them. You should be able to get an answer in about two minutes! Much better than guessing and worrying about!!

  • Author

Well the doctor had me call my insurance and that's what they told me

Your doctor's office told you to call the insurance company. The insurance company gave you your surgery date. And neither one has confirmed that you are approved. What is wrong with this picture? The insurance company knew your surgery date which could only have come from your doctor's office. But your doctor's office would not give you that information and referred you to your insurance company? I'm pretty easy going but I have to say that if it were me, I would have a "candid" conversation with my doctor's office on Monday. I would make sure they understand that the situation is unnecessary and unprofessional and I'm pretty sure "ridiculous" would come up in the conversation as well. I wouldn't hang up until they confirm that you have been approved. It's an absolute certainty that they have the answer - yes or no.

Your doctor's office told you to call the insurance company. The insurance company gave you your surgery date. And neither one has confirmed that you are approved. What is wrong with this picture? The insurance company knew your surgery date which could only have come from your doctor's office. But your doctor's office would not give you that information and referred you to your insurance company? I'm pretty easy going but I have to say that if it were me' date=' I would have a "candid" conversation with my doctor's office on Monday. I would make sure they understand that the situation is unnecessary and unprofessional and I'm pretty sure "ridiculous" would come up in the conversation as well. I wouldn't hang up until they confirm that you have been approved. It's an absolute certainty that they have the answer - yes or no.[/quote']

That's right!

  • Author

No.. the insurance told me that about how it's covered with Anita at the woman's hospital. I just got my surgery date but they said that's if I am approved

  • Author

Well I haven't finished my six month diet. That's why it hasn't been submitted for approval. However upmc told me it's covered.

Well that's UPMC for ya. Not making light but I'm at Magee as well with Dr McCloskey. They are notorious for confusion on the billing/ approval side but evidently you have WLS coverage or they won't have scheduled. They just need to review the documents. You should be just fine. Good luck to you!!! :-).

I'm getting mine done at Magee also but with Dr. McCloskey. I also have Umpc Insurance and I called before I even did anything and they told me that they covered it but that didn't mean "I" was appoved. So I went through all the steps and after, ONLY AFTER, I did all my classes and tests that they submitted all my records and 12 days later I got the call from the Dr's office telling me I was approved and then Shara (DR McCloskey's asst.) scheduled my surgery for september 14th.

I have tuft health ins and went thru the same thing 6 mos program for my ins plus all the doctors requirments only after i had my letter from my insurance saying i completed the program they required was the surgeon able to submit everything for approval which came in about 24 hrs...My day is today need to be at the hospital in about 4 1/2 hrs

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