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

    • buildabetteranna

      I FINALLY HAVE MY DATE!!!!

      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
  • 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

    ×