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Waiting For Approval

I've completed everything required. I wanted to be sleeved before the year was over but hoping it will be done in January. Hopefully, I will be approved and receive a date before the year ends.

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Well, today has been very emotional. I called the dr to see if they had heard from the insurance company and they had. My insurance denied it. The waterworks started. The girl told me the doctor was going to call them at 3 to talk to them. He did and at 3:15 I got the call that I had been approved. My surgery is December 31st. What a way to bring in the new year. I am thinking about all of you. I go in Monday for my pre-opt appt with my doctor. I am excited and nervous about this new journey I am about to start.

How awesome!!! Glad your dr went to bat for you. That speaks loads!

ShayLove, I definitely understand your frustration!! My paperwork was submitted on 11/28, and I didn't get my approval until 12/18!! Meanwhile everyone else I spoke to got approvals within a week!! I was told that the faxes sent were unreadable, they got the paperwork but had not assigned it to a nurse yet, and every other excuse!! I was then told by Aetna that approvals for elective surgeries are not considered 'high priority'! Best bet is to keep calling, and be sure to call BOTH SIDES...meaning the insurance as well as the surgeon, to assure that NOTHING is delaying the process! At least if you can get a status about things, it helps you keep your sanity while you're waiting...please let me know how things go!

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<p>ShayLove, I definitely understand your frustration!! My paperwork was submitted on 11/28, and I didn't get my approval until 12/18!! Meanwhile everyone else I spoke to got approvals within a week!! I was told that the faxes sent were unreadable, they got the paperwork but had not assigned it to a nurse yet, and every other excuse!! I was then told by Aetna that approvals for elective surgeries are not considered 'high priority'! Best bet is to keep calling, and be sure to call BOTH SIDES...meaning the insurance as well as the surgeon, to assure that NOTHING is delaying the process! At least if you can get a status about things, it helps you keep your sanity while you're waiting...please let me know how things go! </p>

Even though I'm happy you finally got your approval I pray that mine don't take that long. Whew... That was almost a month.

Man, that insurance and hospital dance sounds horrible. Like I said before, I have group health, and the two are the same. I have mixed feelings about the overall care that I receive from GH.. But I suppose I am lucky when it comes to the insurance dance.

I called my doctor on Monday (1week from the sent approval day) and was told that the one and ONLY nurse who could go over my paperwork was out on vacation for the holidays. And it was likely that I would not hear back until sometime next week.. This coming Monday will be the end if week two, (when I was told I would get my approval by at the latest) and now I'm looking into possibly three weeks wait total. Guh!

The part that annoys me is that up until now GH has always been very punctual in their timelines. They always have them selfs extra wiggle room, but alway made it within deadline. I'm going to call again on Friday. See if she is back yet and has done my approval... :( I want to know!!!

Submitted on Monday & APPROVED today(Thursday)! That is with Christmas in the middle!! Yay! I can't believe it went this fast! Yay Anthem!

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Submitted on Monday & APPROVED today(Thursday)! That is with Christmas in the middle!! Yay! I can't believe it went this fast! Yay Anthem!

Congrats! I was told today they couldn't verify my insurance for 2014 until January 1st. The system is only showing eligible until 12/31/2013 so I won't be approved until January and looking forward to surgery close til the end of January or early February

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It seems like whenever you want something bad everything tries to hold you back.

It seems like whenever you want something bad everything tries to hold you back.

All the more reason I fight for it! ;)

Hmm...Do you have an annaul deductible? It seems the insurance wants to start a new year with a new deductible.

Got my denial today. All because I am not diabetic. I am on my way to the doctors now to see if I can qualify as having "early stages of diabetes" and if I do that might help with my appeal that I send in next week. Guh. Very frustrating!

Have your doctor call them. Sometimes when the doctor talks to them they are able to get it approved.

Have your doctor call them. Sometimes when the doctor talks to them they are able to get it approved.

Not usually when I don't already qualify for the two basic requirements. But my doctor is in board with me so that makes me feel a little better.

I got this message from my doctor yesterday. This might be my ticket into surgery...

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  • Author

I got this message from my doctor yesterday. This might be my ticket into surgery...<br><br>

I really hope that works for you. I'm still waiting on a response.

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Just called hospital and found out they have not submitted my paperwork to the insurance company. I don't understand it though because if they had it ready for December how much changing would they have to do for January or February? This is a very stressful process.

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