Insurance Drags!

[sharonk 23]

Well i have gone through my 6 months of supervised visits and did all the other necessary tasks for my insurance company's (Highmark BCBS) requirements to be consired for the surgery. All of this was completed back on Nov 1st 2011and i'm STILL waiting for approval! ARGH. Well i should say i was denied within 1 weeks time the first go round (Dec 12th or something like that) on the basis that my dr. did not submit a more complete review of my 6 month supervision. He sent in a summarized version of it and apparently that is not enough. Well it took about 1-2 weeks for that to get resubmitted and now i have been waiting for an answer ever since.

Each time i call my insurance to check the status they give me a different answer to my case. One minute the case has been closed/denied and the next it's open and still under review. I'm so sick of trying to get an accurate answer from these people and i feel like my paperwork has slipped through the cracks. Long story short, they (insurance) say they have until 2/9 to get me an answer because that is the date the Dr. submitted as a predetermined surgery date (not my actual date for surgery). I want to call insurance every day still to see if my case has been finished but i know i will just hear the same roller coaster answers as before and i really don't feel like explaining what is going on since how do i know what they are now telling me is true/accurate?! The dr's office has been getting the same answers too so they are no help either. Any who, just venting!

Hope others are having better luck than me, just wish it was my turn now! i hope this long wait is a sign that they will approve me the 2nd go round since the denial only took a week!!

Cheerio

[NewStart95987 35]

I hope you get some good news soon. I called after two weeks and ended up finding out I was approved. I cried. I can't tell you how long it took to get approved and how many hoops I had to jump through. It can be so frustrating. I have a friend who had been trying for almost 10 years to get the surgery so I'm thankful it took about 9 months. Keep at it and don't give up!

[sharonk 23]

Thanks!!! I'm hoping insurance holds to their words and gives me an answer this week! Lets hope its the answer i want!