Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

Now I wait....

Shanni1269

Recommended Posts

Shanni1269    73

Shanni1269
Posted

I have completed ALL of my requirements and have turned everything into the surgeons office. He says now they have to put a packet together to submit for insurance approval.

How long does it take for them to submit? I know they have to put the best possible packet together for the highest chance of approval. However, I have very little faith in my surgeons office staff as they are pretty slow on EVERYTHING. What did others experience?

I know I have to wait for insurance to approve, I just hope I don't have to wait a very long time for them to submit.

Share this post

Link to post
Share on other sites

Essence46    493

Essence46
Posted

It only took a few days for my doctor to put the package together for the insurance company. I got approval from the insurance company two days after they got the package. I don't know if it was because I was such a good candidate for the surgery or not. Good luck.

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted

It only took a few days for my doctor to put the package together for the insurance company. I got approval from the insurance company two days after they got the package. I don't know if it was because I was such a good candidate for the surgery or not. Good luck.

That's great. I hope I have the same luck.

Share this post

Link to post
Share on other sites

Erika Madrigal    8

Erika Madrigal
Posted

I called my insurance yesterday asking if they got the packet, they said yes and that it was under review and today I got the approval call. Not sure if my call helped or it what.

Erika.....

Share this post

Link to post
Share on other sites

CAmom2016    1

CAmom2016
Posted

My dr submitted my packet to insurance on a Friday and it was approved by Monday.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

GranadoM74    41

GranadoM74
Posted

My surgeons office submitted yesterday, I called today and the insurance company (UMR UHC) said they hadn't received it.

Hoping for a quick turn around! :)

Excited for you, keep us updated!

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted

So I see the Referral in my Health Records on line. However, It shows "incomplete" as the status.

I am so anxious...I think I have looked it up 7 times just today to see if the status changed...lol.

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted

So come to find out the surgeons office submitted a referral. However, it is incomplete. The referral dept at my insurance says they forgot to put in a code and a location. When I asked the surgeons office they said they are waiting on pathology results from a biopsy from the endoscopy. The gastroenterology office says that my endoscopy results were normal and no biopsy was taken as it wasn't needed. AND they Endoscopy results were faxed to the surgeons office stating those results.

So moral of the story...they are waiting on something that they will never get because it didn't happen and I have to sit here and wait for....well nothing.

I am beyond frustrated as I have done EVERYTHING that I can possibly do to get this referral process started. If I could submit for my own authorization I would.

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted

i have called. i have emailed. i have faxed. and i have messaged over the web access and noone from the office will get back to me. The submission to insurance still shows as incomplete....I really hate the silent treatment along with the waiting game.

Sent from my SM-N920P using the BariatricPal App

Share this post

Link to post
Share on other sites

Hulabird    10

Hulabird
Posted

It is so frustrating to have our futures in the hands of other people. Specially when the office staff is inept. I have my final appointment with my surgeon next monday, and I pray that all my paperwork will be in order when they send it in. Good luck to all of us!

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted

It is so frustrating to have our futures in the hands of other people. Specially when the office staff is inept. I have my final appointment with my surgeon next monday, and I pray that all my paperwork will be in order when they send it in. Good luck to all of us!

That is exactly how I feel.

Share this post

Link to post
Share on other sites

kmorri    1,689

kmorri
Posted

If I were you I would drive over there and stand and watch someone send what needs to be sent.... You're paying them a lot of money.....they work for you!!

i have called. i have emailed. i have faxed. and i have messaged over the web access and noone from the office will get back to me. The submission to insurance still shows as incomplete....I really hate the silent treatment along with the waiting game.

Sent from my SM-N920P using the BariatricPal App

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted

If I were you I would drive over there and stand and watch someone send what needs to be sent.... You're paying them a lot of money.....they work for you!!

i have called. i have emailed. i have faxed. and i have messaged over the web access and noone from the office will get back to me. The submission to insurance still shows as incomplete....I really hate the silent treatment along with the waiting game.

Sent from my SM-N920P using the BariatricPal App

I am at that point. If I do not hear something by tomorrow I will be at that office and it won't be pretty.

Share this post

Link to post
Share on other sites

GranadoM74    41

GranadoM74
Posted (edited)

I'm going to check in for anyone with UMR (UHC) looking for info!

Finished my supervised diet and submitted to my surgeon last Monday. I called Optum's Bariatric Services center on Wednesday and they hadn't received any of my clinicals. Spoke with my surgeons office yesterday (Monday) morning and there was confusion as to where my clinical paperwork needed to be faxed. It turns out there is a separate fax line for the bariatric service center.

So, she was able to get everything faxed to the right line yesterday and we're good to go! Got a call from my Optum case manager today and she said "So, unofficially congratulations! I've never seen a case get denied after this point, but! It can happen." I'm really excited and now just waiting for the letter :)

She said I'll know with a letter before she or my surgeons office does, unless UMR decides to call my surgeon.

Here's to the last stretch of the pre-approval portion!

Sent from my iPhone using the BariatricPal App

Edited by GranadoM74

Share this post

Link to post
Share on other sites

Shanni1269    73

Shanni1269
Posted (edited)

so 1 week later they finally resubmitted for insurance approval....so now my wait begins.....AGAIN

Sent from my SM-N920P using the BariatricPal App

Edited by Shanni1269

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
Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×