Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

So I finally finished every requirement I needed for my insurance but my case manager at the baratric center is trying to make me do all these unrequired things I'm so upset right now. My paperwork should already b submitted to my insurance company. Smh!!!

Share this post


Link to post
Share on other sites

One reason I love this forum ... is no fear of asking a silly question ...

So here goes ...

What does SMH mean?

Share this post


Link to post
Share on other sites

If you don't mind me asking....what kind of things is the case manager making you do?? I'm having major anxiety lately over the approval process.

Share this post


Link to post
Share on other sites

Well he wanted me to do a 6 month supervised diet which my insurance company doesn't require and the 5 yr documentation that I've been overweight that Long both of those things r time consuming but I got him to send in for the approval so now we wait ????????

Share this post


Link to post
Share on other sites

Yeah, I feel you. I qualified and was passed on by the final "requirement" of my program, and so the next step was filing the pre-auth. But the coordinator who does that has been dragging her heels. She repeatedly tells me that she's filing by the end of the day and then doesn't do it. Meanwhile, she messages me (via the online message system my provider has) and suggests that I be doing things I'm already doing -- "Well, you should start substituting a Protein shake for a meal or two a day..." Me: "Been doing that for two months. It's documented in my chart." Her: "You should be starting to do a little exercise." Me: "Been doing that for over a month. It's documented in my chart." Her: "You should look into getting your Vitamin supplies." Me: "Been taking those for over two months..." Her: "You need to lose 20-30 pounds before surgery." Me: "That's documented in my chart, too."

Wednesday she messaged and told me that they were *really* filing this time, and sending it on to the surgical scheduling coordinator. My insurer just told me on the phone that nope, no pre-auth filed. *grumble*

Share this post


Link to post
Share on other sites

Yeah, I feel you. I qualified and was passed on by the final "requirement" of my program, and so the next step was filing the pre-auth. But the coordinator who does that has been dragging her heels. She repeatedly tells me that she's filing by the end of the day and then doesn't do it. Meanwhile, she messages me (via the online message system my provider has) and suggests that I be doing things I'm already doing -- "Well, you should start substituting a Protein shake for a meal or two a day..." Me: "Been doing that for two months. It's documented in my chart." Her: "You should be starting to do a little exercise." Me: "Been doing that for over a month. It's documented in my chart." Her: "You should look into getting your Vitamin supplies." Me: "Been taking those for over two months..." Her: "You need to lose 20-30 pounds before surgery." Me: "That's documented in my chart, too."

Wednesday she messaged and told me that they were *really* filing this time, and sending it on to the surgical scheduling coordinator. My insurer just told me on the phone that nope, no pre-auth filed. *grumble*

Oh man I'm sorry trinn :( hope everything works out for u

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • CaseyP1011

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

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×