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Waiting For Ins. Approval? Call, Call, Call!

TamaraS

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I called my surgeons office making sure they received all my paper work and results from all the testing I’ve completed. I am so ready for this surgery and really want to know if the insurance will cover it for sure. I completed all of the things specified by my insurance but I learned that my primary Dr. never signed off on the surgery :/. I personally took the papers over to his office and the girl at the front desk told me he would sign them that afternoon and fax them to the surgeon’s office (and that was two weeks ago).

 

I call my primary Dr.’s office today and find out that my Dr. will NOT sign off on the surgery until I get an EKG. I am pretty frustrated at this point because if I had not called I would have never known that my insurance request was not submitted. Not one person from my Dr.’s office called to tell me I needed to come in for this and it isn’t an insurance requirement so the surgeon’s office wouldn’t have known what the holdup was. I am totally for getting an EKG, just disappointed I was not told earlier. This process over the last three months has been a series of errors. My suggestion for those of you completing your requirements for surgery is to CALL, CALL, CALL! Double check and triple check your info is being received and what the requirements are for your insurance, your surgeon and your Dr. I am lucky I only had a two week hold up, imagine how long it would have been had I not called!!



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wow!!!! that is insane that they didnt reach out to you. guess what i follow your same motto! CALL CALL CALL! i now know all the nurses by first name and i apologized to them for 'stalking' but i told them ive been working way 2 hard for 6 months just to let anything slip by! also for work purposes im ready to submit my FMLA info so yes. i agree call call call! thats why they are there!! good luck to you in your journey! they just submitted my papers today so HOPEFULLy we get approved at the same time!!!

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Everytime I read something like this, I am so GRATEFUL for my doctors office and my bariatric surgeon... they are on top of everything for me... today they called about the test results from Friday!!! I was impressed, unfortunately, they want me to take yet another test, something was a little "off" on my upper GI...but shouldn't pose a problem, they just want it checked out... may not be able to get sleeve because of it :( ... but we shall see... good luck to you!

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What is wrong with these doctors, I called mine two weeks ago to try to get into talk to him about the surgery I want to have. To basically seek his guidance for post op care, not even a return phone call. Luckily I have other options..but sucks cuz ive been here for about 4 yrs.

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Tatylish, Good for you for staying on top of them!! I totally know what you mean about working hard to get to this point. Ill be sending out lots of positive thoughts for the both of us that we will get are acceptance notice soon!

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BigGirl, I really hope that the upper GI issue is something that can easily be worked through and not affect you getting the surgery. that would be so upsetting. Let us know how it goes!

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Muffintop, how frustrating :( I hope that your Dr.s office gets back to you soon and gets you started in the process. Is your other option self pay? I have a friend who took 10 years to get this surgery but by her own choice. she went through orientation, insurance approval all of it and backed out every time. She finally went through with it January of this year and she has lost 150 lbs! She says her only regret wasnt doing the surgery sooner!

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