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2nd time denied for more info

Was denied last month saying the wanted an echo test, food journals, and pulmonary function test. Resubmitted, and 3 days later they want more stuff. Now a cardiac clearance and drug test. 8 months into this, and frustrated. Trying to stay positive. :/

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

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  • neckless_que
    neckless_que

    Hang in there. I'm blessed my insurance company hasn't asked for all that. So far I've had met with a Psychologist, nutritionist, done blood work. Monday I'll be have a chest x-ray, EKG & 2D Echo.

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Hang in there. I'm blessed my insurance company hasn't asked for all that. So far I've had met with a Psychologist, nutritionist, done blood work. Monday I'll be have a chest x-ray, EKG & 2D Echo.

:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

  • Author

Hang in there. I'm blessed my insurance company hasn't asked for all that. So far I've had met with a Psychologist, nutritionist, done blood work. Monday I'll be have a chest x-ray, EKG & 2D Echo.

Thanks. I've done all that as well. I just hate that insurance requires certain things, then when you are done with that and ready, they keep adding more. But I'm staying optomistic :)

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  • Author

:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

I have HIP plus through Indiana. They have the norm 6months requirements with tests, nut, psychologist evaluation, and went through everything needed quickly. So at my 6 month visit submitted and 2 months later still waiting. Just disheartening

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

I have HIP plus through Indiana. They have the norm 6months requirements with tests, nut, psychologist evaluation, and went through everything needed quickly. So at my 6 month visit submitted and 2 months later still waiting. Just disheartening

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

I have HIP plus also. MDWise. What carrier do you have? I've been hoping to find someone that is farther along than me in the process with the same insurance so I can get an idea of what I have to look forward to. It's not looking like I'll have an easy road ahead of me...

  • Author

:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

I have HIP plus through Indiana. They have the norm 6months requirements with tests, nut, psychologist evaluation, and went through everything needed quickly. So at my 6 month visit submitted and 2 months later still waiting. Just disheartening

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

I have HIP plus also. MDWise. What carrier do you have? I've been hoping to find someone that is farther along than me in the process with the same insurance so I can get an idea of what I have to look forward to. It's not looking like I'll have an easy road ahead of me...
I have MHS. They have several requirements to do for your 6 months. Then after they keep adding more when I submit. Waiting now for the heart hospital to call with an appointment for my clearance and drug test. Then Resubmitted

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

Ugh. I wonder if it is the same for all HIP carriers. Did you have any pre-existing conditions that would make them request the extra tests, or a history of heart or pulmonary issues, or do you think its just a standard requirement?

Edited by Ldybg8879

  • Author

Ugh. I wonder if it is the same for all HIP carriers. Did you have any pre-existing conditions that would make them request the extra tests, or a history of heart or pulmonary issues, or do you think its just a standard requirement?

I do not have any history. I was sick after xmas and they thought it was pneumonia, but wasn't so put me on an inhaler for the time being. But previous to this, I've had no health problems besides high blood pressure.

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:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

Would you rather not have any insurance? Imagine paying for every dime of your healthcare without it.

Well, then that is probably something that I'll have to do also.

What hospital are you having your surgery at?

  • Author

:( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

Would you rather not have any insurance? Imagine paying for every dime of your healthcare without it.

Absolutely not. I know I am blessed to have the insurance that I have. As I've said I am optomistic, it is just disheartening when you keep expecting something to happen and it doesnt. That's a normal reaction.

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  • Author

Well, then that is probably something that I'll have to do also.

What hospital are you having your surgery at?

Deaconess. I'm in evansville. Where are you located

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I live in Mitchell, but I'm having mine done at IU health north, in Carmel. It's about a two hour drive for me, but I'm hoping all these trips will be worth it, and I'll get approved.

  • Author

I live in Mitchell, but I'm having mine done at IU health north, in Carmel. It's about a two hour drive for me, but I'm hoping all these trips will be worth it, and I'll get approved.

Yeah being approved doesn't seem to be an issue. It's just the back and forth with insurance. Them saying do these tests after 6 months, then 2 months later they need more is what's frustrating. They need to decide what they want the 1st time, instead of adding more each submission. I know I will get approved in the end, the wait just sucks.

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

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