Suggestions welcome

rosepetals · October 2, 2010

I am way beyond frustrated. This week I should have found out whether my insurance had approved my surgery. I called my patient coordinator who although very nice has frustrated me because she seems to busy for me. I called Tuesday and finally got a hold of her only to be told, I will follow up this week with your insurance. I gave her two days and when I didnt get a call back I phoned my insurance. They told me they had no record of any submission for bariatric surgery so they promised to follow up with the Authorization department and call me back. Two days later, no call back from either cooridinator or insurance. I called insurance again and was told no authorization request on file and where was the request sent to, Grrrrr... trying to remain calm.

Call coordinator who told me she was waiting for a call back from insurance. I explained that the insurance had no request on file. Finally coordinator tells me she will contact insurance again. 10 minutes later Coordinator tells me she had re-faxed request and I wluld have to wait 10 business days for response. So in essense start all over again!

Lord give me strength! I feel like the insurance is giving me the run around and I am at the mercy of a coordinator who does not have time for me. I will be switching insurance in December and do not want to restart this whole process all over again.

I had also hoped to have the procedure before the holidays because I want to enjoy them. I probably sound like a whiner I know.

My insurance also has a clause that states I have to remain a certain BM 1 month prior to surgery meaning if I have lost too much weight before hand they reserve the right to cancel their auth. What to do?

Maddie · October 2, 2010

I would be frustrated too. All you can do is keep after them. I hope they get their butts in gear so you can move on to the next step. Wish I had some words of wisdom. Maybe someone else can offer some advice.