Insurance approvals for revision to bypass.

[nomorefattypatty 329]

I've done all my requirements for the bypass revision, due to hiatal hernia and problems with reflux my dr. says I need to get revised from the sleeve to bypass. Anyone else having trouble with insurance company getting this approved.? I'm really suffering over here and they just tell me my appeal is pending. Anyone know how I can push this forward? Help!

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[Lynda486 783]

The waiting is so hard! Mine took about 3 weeks to go through. (I have bcbs) How long has yours been pending? I hope you hear something soon!

[TX2NC 28]

A couple of things. 1st check your policy. If what you are waiting on is an approval for the revision, most insurance companies stipulate a time frame. Generally about 14 days. One thing to remember is that they work on a business day schedule not a calendar day. So it’s about a 3 week time span. 2nd If you’ve already been submitted, it was denied and an appeal has been submitted, there should still be documentation in the policy regarding the maximum amount of time they have to let you know of their decision. 3rd. It may take a phone call to get all of the information from your insurance company. My revision was listed as a covered procedure, but it wasn’t plainly listed in my policy. I had to call and get them to email it to me.
Best of luck!