South Texas Bander

[CarrieBrownsville 55]

Remember, I am old enough to be your mother, so because of disabilities I am already on SS and get Medicare. I have a Medicare Advantage policy that covers everything Medicare coveres plus more. This surgery is a Medicare approved surgery for diabetics who are obese, so approval must be given within 14 days. I'm with Physicians Health Choice. I read somewhere, though, that insurance companies must give an answer within 30 days. You can call yours and ask for a status and ask about how long it should take and then you'll have some guidance.

I'm going in on Thursday to pick up paperwork and pre-register at the hospital. I'll probably get instructions about fasting the night before, but I just don't think they put their patients on a special pre-op unless there are reasons for it. I do know I was supposed to stick to low carb, which I didn't do (vacation came up) so have a gained a couple pounds since they last saw me. I don't know what they'll say about that. I'll keep you posted...

[Holubarlaw 0]

Very sad. My insurance denied me! So we are appealing.

[CarrieBrownsville 55]

Did they say the reason for the denial? I know sometimes insurance companies routinely deny until they're sure the surgery is medically necessary. Dr. Reyes' office will know what to do. Hang in there! I'll be banded Monday AM and will keep you posted. The office staff and Dr. Garza couldn't stress enough that half the battle is communication and continuing to see them. I don't know if I can make any support meetings on Monday or Tuesday nights because it's such a long drive back by myself at night, but will try and we'll meet there I'm sure. It's only a matter of time and you'll be banded!