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When does insurance approve?

auttie101

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auttie101    6

auttie101
Posted

Hello Everyone,

I have my first appointment with the surgeon on Jan 11th and i believe all my ducks are in a row and i have met all of the qualifications for my insurance. When exactly does the insurance approve or deny? Do i need to be finished with all the testing before i get an after or will i be approved/denied pending testing results? also, does the doctors office schedule my testing appointments or do i do that at my leisure? I want to get a surgery date asap so im trying to get everything together now.

Autumn

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BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

I was approved in 6 dsys..it depends on their requirements and your insurance company

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BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

Ok, let me clarify, your insurance requirements are different than your surgeons requirements. Like my surgeon ordered an EGD which could've been done before or after approval. Your Dr. May order a sleep study which is diagnosed with sleep apnea will heighten your chances for approval. But as long g as you have completed requirements that your insurance has specified you'll be fine.

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BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

@@BubblesOhSoSleeved THANK YOU FOR YOUR HELP! Did the doctors office send for approval to your insurance the day of your first visit?

No, they sent the request after everything my insurance required had been completed, also make sure you stay on top of your surgeons office and insurance as they like to take their time. I called to make sure they sent in my request and then after I jade confirmation they had, bugged the hell out of my insurance until it was approved. Now I'm just waiting to set my surgery date

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trekker954    421

trekker954
Posted

My insurance, BCBS federal had a long list of requirements. The surgeons insurance gal gave me that list. It was my responsibility to gather all of that evidence for compliance and send that to her. Some included additional tests and psych clearance. Again, up to me to make those appts and have results sent. Once they had everything in and each box checked she sent it to BCBS. Approval was 2 days later.

IMHO, I was confident that I provided each and everything that insurance required.

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BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

See with my office they have other offices they work with for sleep studies, psych and dietician evaluations and. I scheduled my psych and dietician evaluations on my own because I didn't want to wait for the referral but the sleep study office called me and do did the people performing my egd.

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Monasmle    90

Monasmle
Posted

My surgeons office has been very helpful so far, Dave me recommendations for psych eval, nut at the surgeons office, they do all pre testing, and submit paperwork. I can't say enough what a difference it makes to not have to worry and know that someone can guide me thru the paperwork. I'm two nutritionist sessions away from submitting for approval!

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moe_2175    33

moe_2175
Posted

I started mine end of September. My insurance is Aetna and they required 3 month obsv. Initially I was told that once my I attend my final/consent appointment which was set for today (dec 30) then they would submit everything to Aetna and they would usually approve in within 21 days. When I asked for it to be expedited in October, I was told to come in and complete some ppwk before I went on vacation. I came back from vacation two days ago and went to my final appointment yesterday and they told me I was already approved by my insurance. The Dr told me they had submitted all the paperwork to Aetna when I came in last time (nov) and it was approved. So now I'm so excited and ready for my surgery on the 16th Jan

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

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