Jump to content
×
Are you looking for the BariatricPal Store? Go now!
Sign in to follow this  
  • entries
    20
  • comments
    23
  • views
    2,946

Insurance

Sign in to follow this  
ShellShock

335 views

Tomorrow is the 1st day of September and that means 30 days till surgery!!!

 

I am a bit worried though. Not because of the surgery but because I got a letter from my insurance yesterday that said that I was approved but through "Out-of Network" since the Center for Weight Loss Surgery was not in Network. This is crazy! The surgeon is one of only three on their list of approved surgeons for bariatric surgery in Washington state and the hospital is on their list. How the heck could the surgeon's office not be on the list??? And why didn't the insurance lady at their office tell me this when she called me. Today is Sunday and tomorrow is a holiday so I have to wait till Tuesday to call anyone. It might be a mistake. I have gotten two letters that said denied but I was warned by the center that I would get those and not to worry about them.

 

I have to check my insurance but Out of Network won't be that bad I suppose. I don't remember what percentage I would have to pay but it will just cost me more. I actually met my In-Network out of pocket already this year so everything is getting paid 100%. I was just hoping I wouldn't have to pay anything.

 

Another thing that was mentioned on the letter was that I was pre-authorized for September 15 and 16th. I don't have surgery till the 30th. What happened is that when my paperwork was submitted the weight loss center put in a surgery date of september 15th so that it would get approved faster but now I have to explain to my insurance that it is not on that date. Hopefully that is just a quick fix of telling them and that is that. I just don't want my surgery to be jepordized because of this.

Sign in to follow this  


1 Comment


Recommended Comments

Tomorrow is the 1st day of September and that means 30 days till surgery!!!

I am a bit worried though. Not because of the surgery but because I got a letter from my insurance yesterday that said that I was approved but through "Out-of Network" since the Center for Weight Loss Surgery was not in Network. This is crazy! The surgeon is one of only three on their list of approved surgeons for bariatric surgery in Washington state and the hospital is on their list. How the heck could the surgeon's office not be on the list??? And why didn't the insurance lady at their office tell me this when she called me. Today is Sunday and tomorrow is a holiday so I have to wait till Tuesday to call anyone. It might be a mistake. I have gotten two letters that said denied but I was warned by the center that I would get those and not to worry about them.

I have to check my insurance but Out of Network won't be that bad I suppose. I don't remember what percentage I would have to pay but it will just cost me more. I actually met my In-Network out of pocket already this year so everything is getting paid 100%. I was just hoping I wouldn't have to pay anything.

Another thing that was mentioned on the letter was that I was pre-authorized for September 15 and 16th. I don't have surgery till the 30th. What happened is that when my paperwork was submitted the weight loss center put in a surgery date of september 15th so that it would get approved faster but now I have to explain to my insurance that it is not on that date. Hopefully that is just a quick fix of telling them and that is that. I just don't want my surgery to be jepordized because of this.

Share this comment


Link to comment

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

PatchAid Vitamin Patches

×