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Waiting to Exhale



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Waiting for insurance approval over the holidays really sucks because I never know if a working day is a real working day....have people taken days off to extend the holiday...so it's going to take longer for me to get approved? I brought a pair of jeans in my target size and have them hanging on my bedroom wall. I have cleaned the whole house and rearranged furniture to make the place more comfortable when I come home post-op. I have purchased supplies for the hospital and home. I got a batik kit for Christmas and am trying to occupy myself by teaching myself to batik. But most of all, I wait. I try to stay positive, and I wait. :unsure:

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@ Waiting stinks! It does seem like you've been in the process for awhile now! Hopefully they will give you an answer soon!

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Waiting for insurance approval over the holidays really sucks because I never know if a working day is a real working day....have people taken days off to extend the holiday...so it's going to take longer for me to get approved? I brought a pair of jeans in my target size and have them hanging on my bedroom wall. I have cleaned the whole house and rearranged furniture to make the place more comfortable when I come home post-op. I have purchased supplies for the hospital and home. I got a batik kit for Christmas and am trying to occupy myself by teaching myself to batik. But most of all, I wait. I try to stay positive, and I wait. :unsure:

I hear you! I'm enduring the same thing. I'm still waiting to hear the decision for my external review which was filed 2nd week of December. Patience is a virtue, but it's not one of mine! Good luck & I hope we both get approved soon.

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Called the insurance company this morning and they say they have not received my claim. Bummed.

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I feel your pain!! I completed everything Monday and I am still waiting to hear back from the surgeon's office about when it will be submitted. I want an answer now. Patience is not my strong point :)

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I had anthem blue cross of Ohio during this past year and I had to wait 18 days for a response. Submitted it December 4 and didn't year anything back until December 21 the morning of my surgery...and guess what..DENIED. all because they loss my medical clearance form stating I'm cleared for surgery. Sucked so much...now I have tufts health plan and had to resubmit my paperwork today..and so the waiting process starts a new. So in closing I feel your pain lol.

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I understand your pain. My documents were submitted the 21st of December. As of Friday, they still have not received anything :-( I am scheduled January 20th but I can't get excites knowing that I'm still waiting. I will be calling Monday morning. What insurance company do you have? I havrBCBC NJ

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I have Preferred One. They are supposed to be an easy company to get approved by, but since they haven't gotten my claim yet, they can't approve me.

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OK. I'm not familiar with them, but praying you hear something soon ;-)

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If it's filed give them a couple days then start being the squeaky wheel. The only reason I didn't harass cigna was I had a death in the family and knew I couldn't get it done before the end of the year. Otherwise id have been crawling all over them

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Called insurance again and they have still not received my claim. Called the program and there are no notes saying the claim had been sent. The insurance person Kelly, has not returned my phone call of last week and Doreen who is the admin for the program said she would talk to Kelly and see what the hold up is. This is so frustrating. It is almost 3 weeks since my last NUT visit and the program has not even submitted my paperwork. I am about to become that squeaky wheel!

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Same thing is happening to me. I waited 3 weeks to find out that rhey never sent it. Well actually they said BCBS never recieved. Now im on them hardcore! What insurance do you have?

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I have Preferred One. I have decided that I am going to start calling every other day till I get an answer!

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Your better then me. I'm calling daily. I have no time to waste and I'm on a tight timeframe.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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