ChickenChick

My problem is...I don't want to bug people. I know it's probably better if I did, I just can't do it - I'm not wired that way. I'll probably check in again on Monday (but I'll second guess myself first, ha). Sent from my iPhone using the BariatricPal App

Mine (Optum Nurse) happen to be in vacation when I messaged her, so a few days later that's when I called UHC directly. Then when she came back she said the same thing they told me over the phone. That was reassuring. But waiting sucks, especially knowing some lucky people get and answer in a few days or even a few weeks. Sent from my iPhone using the BariatricPal App

Yes, I called them twice. Always still pending review. My doctor's office said they are checking everyday, so it helps knowing that. Sent from my iPhone using the BariatricPal App

Yes. Both the doctor's office and my Optum nurse. Ugh. Sent from my iPhone using the BariatricPal App

Still no word from UHC on if they'll approve (or deny) coverage for my surgery. It was submitted on Aug 14 so tomorrow is a month (30 days). October 26th is 30 business days, so I guess I'll have to hold out until then if nothing comes in from them on Monday. My PCP took me off my cholesterol medicine since it's not helping (I've tried two kinds) and it's making my liver enzymes high. (Ultrasound and MORE blood work is ordered - just had blood work done last week and now I get to do it again) She's asking for authorization for Praluent, an injectable cholesterol lowering drug. The drug without insurance is $1,200/month or $14,400/year. It looks like it will run me around $140/month if they agree to cover it under my prescription plan. I'm guessing the only silver lining for having to wait over a month for them to review is that if they happen to see that Praluent is being ordered, maybe they'll be more inclined to pay for a $12,000 surgery vs. paying $14,000/year for cholesterol medicine. Or perhaps it MAY help in an appeal if they deny surgery. I'm trying to stay positive.

I absolutely will! Sent from my iPhone using the BariatricPal App

Submitted to insurance or they approved you and it was sent to your doctor?I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial). Sent from my iPhone using the BariatricPal App No, they finally submitted everything today to my insurance company. She said it does not take long to get a responds for an approval, so I should here back soon. She states that they will give them the max of 30days but it's usually way quicker thn that because there coordinator works with only works with one person from uhc. So it makes turn aroubd time quick and easyGood Luck!!! Sent from my iPhone using the BariatricPal App

Submitted to insurance or they approved you and it was sent to your doctor?I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial). Sent from my iPhone using the BariatricPal App

Good Luck! It's been 15 days today for me. Sent from my iPhone using the BariatricPal App

Wow, That was so fast!!! Congratulations! Still no word for me, patiently waiting. Sent from my iPhone using the BariatricPal App

I know what you mean. It's hard to think no news is good news, when they could be scrutinizing everything to deny coverage. Sent from my iPhone using the BariatricPal App

I haven't. I spoke to my Optum nurse Thursday and she said it's 'pending review'. Sent from my iPhone using the BariatricPal App

I had my final (6) visit on Monday, Sept 12th and my Optum nurse said the surgeon's office submitted my records on Wed, Sept 14th and was 'pending review'. So we shall see. I'm obviously nervous that something is missing and/or I won't be approved for some haywire reason. I'm also anxious to know how long it will take to get a surgery date and how far out the surgeon is scheduled (IF I'm approved).

I'm lost. What do you mean? Sent from my iPhone using the BariatricPal App

Said some prayers for you this morning - or sent good vibes and thoughts...however you believe. I hope everything has gone smoothly!!!

Oh I see. Monday is my last appointment before submitting to insurance. I didn't know what kind of timeline to expect, but I'll find out soon enough. I'll be thinking about you tomorrow! Good luck!! Check in and let us know how you are as soon as you can. Sent from my iPhone using the BariatricPal App

Once they submitted to insurance how long did it take to get you a date? Sent from my iPhone using the BariatricPal App

I wasn't opposed to doing it again, but I was going to at least be persistent to TRY to get the one I've already done. Plus, who knows if my insurance would pay for another one. Nonetheless, the new surgeon has it now! Stoked! Sent from my iPhone using the BariatricPal App

I'm thinking about you! One week from today. Are you doing a pre-op diet? If so, how's it going? Sent from my iPhone using the BariatricPal App

I found PsyMed, Inc has a Facebook page, so I messaged them. Also, I accidentally stumbled across the email address of the CEO of PsyMed, Inc. I hope they reply to my FB message this week, or I may have to email Dwayne . I'd hate to interrupt his Napa Valley visit. I suppose having a technology background means it might not have been accidental, but whatever...I just want my records. Sent from my iPhone using the BariatricPal App My records for my psych eval was finally sent to Dr. Fass' office. One more appointment on 9/12 and then it'll be submitted to insurance. Sent from my iPhone using the BariatricPal App

I found PsyMed, Inc has a Facebook page, so I messaged them. Also, I accidentally stumbled across the email address of the CEO of PsyMed, Inc. I hope they reply to my FB message this week, or I may have to email Dwayne . I'd hate to interrupt his Napa Valley visit. I suppose having a technology background means it might not have been accidental, but whatever...I just want my records. Sent from my iPhone using the BariatricPal App

How am I coming along? I'm feeling a little frustrated today. After 3 tries to get my psych evaluation (done by a contracted Psychologist through True Results), I've been ignored. Dr. Fass' office said they can't request them for me, which I found odd, but maybe there are rules/laws with mental health records - who knows. I know my faxes and phone calls have gone unanswered and it's super frustrating. I have one appointment left (on Aug 12th) and if I had my psych eval to give to Dr. Fass we would be able to submit to insurance soon after that appointment. I'm at a loss on what to do, so I messaged my insurance nurse to see if she had any ideas, and if not would my insurance cover another psych evaluation. I'm about to see if my PCP would request the records for me - I'm feeling desperate.

It's like any regular gastric sleeve except an "added" measure (not instead of) of stitching the stapled part. I had to YouTube it before. Sent from my iPhone using the BariatricPal App

Let us know how it goes! Yes! Let us know! After they submitted to insurance how long did it take them to schedule? Sent from my iPhone using the BariatricPal App

Have you gotten an update? Sent from my iPhone using the BariatricPal App