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

Case Manager Rants.



Recommended Posts

Does anyone else feel like their Case Manager could careless about them? I sent in my paper work after my 6 month weight management requirement from my insurance on Monday 7/18/16. Along with messaging in the portal that I faxed it over and here it is Wednesday and I still haven't heard back saying if they have received it. During my 6 months every time I asked question, I got the same response and no answers. I understand her hands are tied because of the insurance approval process. But I just thought they would be more hands on with communication leading up to the surgery. I'm just frustrated. I have been dreaming about this surgery for 8 months and I am beyond excited to start my new life. I'm afraid not enough information is going to be provided to the insurance company and cause a delay in the approval. Although I am not currently medicated for my medical issues. I have many issues that are causing life to become very uncomfortable and my doctor is holding off prescribing anything until after I have the surgery to see if they rectify themselves with weight loss. I have high blood pressure, and I'm beginning to have a lot of trouble with mobility, my back, my hips, my knees, my ankles, and most of all my feet hurt so bad that walking is very painful. And I don't feel that is being put into the documents to provided to the insurance to express why this surgery is so necessary. What did you provided to your insurance company for your approval, I have United Health Care? Any feed back would be great? Thank you for letting me Rant Crystal.

Current Weight 261, 5'5

Goal Weight 145

Looking at having either the Sleeve or the SIPS procedure

Share this post


Link to post
Share on other sites

@@Crystal Ann Keister My paperwork was submitted right after I finished all my requirements and it took the insurance company a month to approve me. I started to fear that they weren't going to approve because it was taking so long. I don't know why it took so long and no one will tell you anything in the process other than it is submitted. Its hard not to get anxious and I tried to be patient and was fairly patient the first couple weeks and then as it got to be longer I got more nervous. I pretty much didn't react when I heard the approval because I couldn't believe it at that point. I was expecting it to be denied. So... You may want to find some other thing to think about (if that is possible) for awhile in case it takes as long for yours as it did for mine. It didn't help to hear on this forum that some people were approved in a week. Made me feel like there was something wrong. I guess it just depends on how many they have to look at right now. Good Luck!

Share this post


Link to post
Share on other sites

I'm sorry to hear that your case manager is not very responsive. I was very fortunate in that my surgeon's office has a great support team. They always return my calls promptly. I've read that others have had similar problems so I am blessed. I would keep calling them or even stop by the office. Ask them when the paperwork was submitted and when they expect to hear something.

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

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 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

    ×