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Insurance approval



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Hello Ya'll I am at the end of my 6 month requirement for surgery. My last appt is at the end of this month. I am nervous about everything being submitted for the final approval. How long did it take for the insurance to approve the surgery? I am hoping it is not a long wait bc I am really hoping for a December surgery date. It's been a long 6 months.

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Once I had everything submitted, I had an approval that work week. Congrats on getting to this point, you DID IT! :)

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I went to a bariatric specific hospital so my insurance advocate had it on her calendar to request my records from my PCP the day after my last appointment. She submitted it that day and she called me 2 days later with the approval. From there it took 2 buisiness days to get scheduled. My surgery ways 10 days from scheduling. I’m pretty sure my experience is best case senario. I would just make sure to be your own advocate and follow up and make sure records are getting where they need to go.

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It took 2 1/2 weeks for me after my last appointment, but I think that is unusual. The surgery coordinator set my mind at ease a bit, she has submitted a bunch of these and she said she never had an issue with a case similar to mine.

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It varies by the different insurance companies, your team etc. Try not to worry to much about it, it will be approved. If it takes longer that doesn't mean that you won't be approved. Like the other poster said, these surgeons have done so many procedures and most of the staff knows exactly what they need to submit to get you approved.

BTW: I called my insurance company myself about 4 days after it was submitted by my team and it was approved and the nurse called me later that day to schedule my surgery.

You will be fine and congrats 😉

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On 11/14/2018 at 1:02 PM, wanda247 said:

It varies by the different insurance companies, your team etc. Try not to worry to much about it, it will be approved. If it takes longer that doesn't mean that you won't be approved. Like the other poster said, these surgeons have done so many procedures and most of the staff knows exactly what they need to submit to get you approved.

BTW: I called my insurance company myself about 4 days after it was submitted by my team and it was approved and the nurse called me later that day to schedule my surgery.

You will be fine and congrats 😉

How did you get the weight measure? thats so cute!! congrats on your weight loss!!! Get it girl!!!

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On 11/13/2018 at 7:41 PM, JessaK said:

I went to a bariatric specific hospital so my insurance advocate had it on her calendar to request my records from my PCP the day after my last appointment. She submitted it that day and she called me 2 days later with the approval. From there it took 2 buisiness days to get scheduled. My surgery ways 10 days from scheduling. I’m pretty sure my experience is best case senario. I would just make sure to be your own advocate and follow up and make sure records are getting where they need to go.

I am going thru UC Hospital so they have a whole unit for the Bariatric. I also work for UC as well. So I'm hoping that plays into my favor. Just nervous. Everyone on this site has been more than helpful and insightful. Congrats on your weight loss!!!!

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On 11/13/2018 at 6:28 PM, KatieNthings said:

Once I had everything submitted, I had an approval that work week. Congrats on getting to this point, you DID IT! :)

Good luck on your surgery!!!

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I'm on the same boat my last appointment is November 20 and then I forward everything to be submitted to insurance I'm really hoping for December surgery but my surgeons office is very busy and they take along time to process paper work :-( but I can still hope for a December surgery

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I too and done with my last nutrition appt on Tuesday. I was told to expect 2 weeks, but I'm going to call then on Friday and bug them. I heard my surgeon is booking put 4-6 weeks. I know the feeling of wanting it now, but looks like early January for me. Best wishes!

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On 11/18/2018 at 12:13 PM, Queenbee34 said:

How did you get the weight measure? thats so cute!! congrats on your weight loss!!! Get it girl!!!

You have to use a desk top computer, at the top right click on your name and a drop down will come up and click on My Tickers, you can create one.

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It all depends on the doctors office tbh. Some have days where they specifically work on patient files and insurance submissions. But, once they have informed you of submission wait about a week and contact your provider. Speaking with them sometimes help. I have affinity and received my approval with in two weeks after submission 

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