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CarrieBrownsville

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CarrieBrownsville    55

CarrieBrownsville
Posted

So far I've been cleared by a psychiatrist, a nutritionist and a heart doctor. Friday AM is the upper GI and if I pass it, then I see my primary care doc for clearance. After that is the wait for insurance approval. What kind of time frame are we looking at for normal insurance approval? I should think the insurance companies would approve quickly when health issues are at stake. Any ideas? I'm so ready to get this going!

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Jerseygirl82    18

Jerseygirl82
Posted

I had a three week wait. I called my doctors office once a week to see if they had heard yet. Finally that third call they said they had just received the email. Worth it.

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utcaneuser    32

utcaneuser
Posted

Mine was about 3 weeks. Keep in mind you can also call your insurance your not limited to your dr.'s office.

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RhondaMarie    67

RhondaMarie
Posted

Not every insurance will allow patients to call & inquire about auths.

Isn't that terrible? There are some patients (not necessarily lap band patients) that REALLY suffer for it.

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utcaneuser    32

utcaneuser
Posted

Insurance companies don't allow the patients to call them? what a crock!!!!!!!!!!!! :angry: I would be complaining majorly; they are my benefits, there is no reason I should not be able to find out the status of them. ok done ranting :P

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RhondaMarie    67

RhondaMarie
Posted

I didn't say these patients can't call to question if A or B is covered. Some, however, do not allow patients to call & request auths

.. or to call and question an auth in process. I work in the front end of a hospital with a HUGE focus on revenue cycles. It causes big issues for the patients.

There is an even worse issue. Speaking on a diagnostic testing side... I live between 3 big cities. If you go to a specialist there & want to have your test done at home (aka out of their health system) they wont even attempt to obtain an auth for a test their doc wants!! RIDICULOUS!!! They send everything to a PCP to piecemeal & may add weeks to the waits! That's great patient care!!

It's a lot of decisions being made to save administratively that totally screw patients.

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NWgirl    574

NWgirl
Posted

Insurance companies have 30 days to respond to a pre-authorization.

Sent from my iPad using LapBandTalk

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CarrieBrownsville    55

CarrieBrownsville
Posted

Thanks everyone for the replies! I always learn so much on this site!

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kimeo99    9

kimeo99
Posted

It took them a few days 4 my approval!!!! My insurance company call and told me the good news herself!!!!!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LadyVeteran1

      LadyVeteran1

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

        Brookie2shoes

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

      2. LadyVeteran1

        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

      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

        DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        buildabetteranna

        Thank you ❤️

    • Bashbee91

      Bashbee91

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

      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

        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

      buildabetteranna

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

        Selina333

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

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