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How hard is it to get insurance to aprove the surgery

Ive tried time and time again to get the surgery done. Im now at the point where the drs office has submitted the paper work and I was wondering how long is this going to take and will the insurance give the ok or will it be a fight?

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Depends on the insurance. I had 6 months of pre op requirements but once that was done insurance approved in less than a day.

Mine approved in four hours, but it was highly detailed. I got a personal letter from the physician, that helped.

I agree, I believe it is all in how thorough your office sends off your paperwork to the insurance company. I worked my program, completed it in 6 months, paperwork sent off as I left the consult with my surgeon and an hour and a half later I received a call that I was approved. A month later I had my surgery. I have GIC - Unicare of Massachusetts.

It really depends on ur insurance company and the detailed paperwork your team submits. I have Cigna. ..after the 3 month supervised diet everything was moving wayyyy faster than I was thinking it would take....approval within a day...and my surgery date is on 6/2!

It really depends on the insurance co. I got through everything in about 2.5 months. The final approval was the longest and that was 3 weeks. I knew it was what I wantef, but i would have loved abother visit with the nut.

@TXMissy You probably could have gotten another visit with NUT covered if you asked your doc. I went to doc for my first free consult April 17 and then did my psych eval, endoscopy, heart stress test, NUT apt, and pulmonary function test. Having Surgery June 1st. It all went much faster than I anticipated. I didn't have to do any supervised diet etc. I have BC/BS of Texas

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I have medical blue cross lasalle .. I know I had to do the 6 month diet and that will be done around the 16th of this month. Im just ready to get it done and over.. the longer it takes the more time I have to think about the what ifs and all.

  • 1 month later...

Im approved and surgery is tomorrow

Best wishes !!!

You'll come through like a champ.

Depends on your insurance and how thorough and fast your surgeons office is, I asked my surgeon's office how long it normally takes it to hear back from my insurance and they said 5 to 10 business days. Mine was just approved yesterday (7/15) and got the call from the hospital to schedule my surgery yesterday as well, it took 10 business days.

Good news! Thanks for letting us know. It will change your life, 3 mos post by-pass, mine is changed forever.

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