Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Pre-approval frustration



Recommended Posts

Was told after all my appointments that doc's office will submit papers to insurance on Monday 24th. If more papers required - would know this week. If approved next week.

Today is Thursday. I am hopping it is a YES... Just in case something is missing and to expedite the process I called my insurance. They never got a call from my doctor ... AHH!?!?!

Called my doc's office - the 'right' person was not available. Through the message from the third person I was told I will be contacted when they have any news. AHH!?

Have anyone called their insurance directly while waiting for the approval?

I need to get my mind off this... every time I think about it - I get hungry.

Share this post


Link to post
Share on other sites

Thankfully I didn't have to contact my insurance company. But I've heard others on here say they called the insurance company everyday until they got an answer...

Share this post


Link to post
Share on other sites

I personally harassed my insurance company and had an approval within 2 weeks and that included time for them to deny me once.... GOOD LUCK Don't give up call at least twice a day and make sure you write down who you talk to and what time and day you called.

Share this post


Link to post
Share on other sites

The irony is my Insurance person was very nice. I can not reach the person at the doctor's office. And the doctor's office never submitted the papers. Anyone had the same issue with NYU office?

Insurance person i spoke with was very helpfull, to get the process she got basic info from me and set up a case to start the ball rolling. But they need all the forms from the doctor.

I feel like going to the doctor's office, getting the copy of my file, and faxing it myself <_<

Share this post


Link to post
Share on other sites

I'm from Nebraska, but I had issues with my stuff not being submitted to my insurance. Whenever I called the surgeon's office to talk to the person who took care of submitting papers, I would leave 1 message a day for 2 days and never get a return call. I would say something to the receptionist about not getting my calls returned, but it did no good, so then I would just call every hour until I was able to speak to the right person. I was told that my file was sent to my insurance on Sept. 9 2010, My insurance has a 30 approval time, so I called the office Oct. 6, 2010 to see if they had heard from my insurance, and she said that they hadn't. So I called my insurance the next day and surprise, surprise, they just received my paperwork the 6th! So I assume that the surgeon's office didn't even fax it until that day, I was pretty angry. I was FINALLY approved on October 25, 2010 and had surgery November 29th. It can be such a frustrating process, but it is definately worth it :)

Share this post


Link to post
Share on other sites

Something tells me that the surgeons office knows which insurance companies are harder than others ton get through. They put those on the front burner. The easy ones go on the back...to wait to be scheduled when the doctor is more flexible. I was told a week ago that my paperwork was submitted and it would take 5-10 business days. I've heard of some people getting an answer the SAME DAY. They don't know that I know this, so I called insurance 4days ago, and they said they hadn't gotten any paperwork :-/ go figure. I'm being patient tho, I may have to wait til March for surgery because of vacations on the job...

Share this post


Link to post
Share on other sites

Today is day 8 after I have completed all of my doctor's requirements for the surgery.

Today is day 4 after the day my doc's surgery coordinator should of submitted my papers to the Insurance for approval.

As of 3pm today - Insurance received nothing. I still can not reach the 'right' person at the doctor's office to find out why.

Doctor is on vacation second half of Feb, and I have to have 2 weeks of pre-op diet... That means February surgery is most likely out of the question. :(

I now understand why NYU docs require psyche evaluation from all patients - they don't want us to go mental on them from all that delays. :angry::blink:

Share this post


Link to post
Share on other sites

I called everyday to check the status!! Insurance knows you are anxious and are pretty good about giving you updates!! You're not bugging them.

Share this post


Link to post
Share on other sites

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
Sign in to follow this  

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 2 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×