pephlin
LAP-BAND Patients-
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Everything posted by pephlin
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How many times is too many times to call your insurance company????
pephlin posted a topic in Insurance & Financing
I was told by my patient advocate that they sent in my paperwork to United Health Care on April 16th. I called UHC on Monday the 20th to make sure they received it. They said they received it on the 17th and it was "under review" they said it might be ready today the 22nd. Well I have been calling twice a day, and it is still "under review" I call in the morning and I call in the afternoon. Is that too much??? I just can't stand to wait!!! I just need to know yes or no!!! Of course I am hoping for a yes. I will post as soon as I know something. Send the positive approval vibes my way!!!! -
How many times is too many times to call your insurance company????
pephlin replied to pephlin's topic in Insurance & Financing
I just found out that I was approved!:thumbup: My surgery is scheduled for MAY 19. I am soooooo excited!!!! and now a little nervous. -
How did they notify you??? what were your conditions.
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waiting on isurance approval (hopefully). I went to a seminar on March 31st. Met with a patient advocate on April 2nd, blood test on April 5, went back and forth with advocate and insurance to see what my requirements were. After several days and many phone calls, the "insurance guru" at true results said that I didn't need the weight history and she would go ahead and send in my paperwork on Wednesday. I asked what they thought my chances were and of course they wouldn't say good or bad. So, now I am waiting. They did schedule me for a psych, nutrition, and EKG. Is that a good sign?? I think I am reading way to much into this, I just need to be patient!!!!!:thumbdown:
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What have you heard about Dr. Esquivel in Austin Texas???
pephlin replied to pephlin's topic in Weight Loss Surgeons & Hospitals
What does the preop diet look like?? -
What have you heard about Dr. Esquivel in Austin Texas???
pephlin replied to pephlin's topic in Weight Loss Surgeons & Hospitals
I am also going through true results. They are sending in my information to the insurance company on Wednesday and then I have to wait.... I got to meet him at the informational seminar, but have not seen very much information good or bad about him. I have my psych, sleep study, nutrition and EKG scheduled for April 21st. They said it would take about 3 weeks to hear back from the insurance company. -
Ok, I went to an information seminar, met with the patient advocate and she told me that I was covered and proceeded to tell what the requirements were, BMI of 40, 5 year weight history at a BMI of 40 or a BMI of 35-39 with 2 comorbid conditions. I ciouldn't believe this is what my insurance would ask for so, I called them. I spoke to a representative and they told me that I only needed a BMI of 40+ or 35-39 with one or more co morbid conditions. The advocate said that "the insurance" people that work for true results know a lot about insurance and they know what the requirements are. She told me to get the info, in writing and she would look over it. So, I called my HR dept. and retrieved a copy of the "Booklet of Certificate" which explains all of the coverage that my insurance company covers. In a nutshell it states that charges are covered if a person is severe or morbidly obese, and then it give the definitions of what those are. There is no mention of additional requirements. Is this correct??? If there are requirements where would I find them??? HELP!!!
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Need help understanding insurance coverage
pephlin replied to pephlin's topic in LAP-BAND Surgery Forums
Thank you:rolleyes2: -
Need help understanding insurance coverage
pephlin replied to pephlin's topic in LAP-BAND Surgery Forums
I have United Healthcare EPO choice