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Carewise is taking forever!

dbritt

By dbritt, in Insurance & Financing

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dbritt    4

dbritt
Posted

I was finished with Carewise on November 16th and the medical director has had my file since the 30th so they say. I was told that I would have an answer by last Wednesday at the latest. I am so tired of waiting. I just want an answer. They return my calls Every time I call but I just get the same old story. They have scheduled my pre op call and my post op call yet I have no approval or surgery date.

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dltrautman1    27

dltrautman1
Posted

I fully understand your frustration. I had to jump through so many hoops to get this approved. I was fortunate the actual final approval only took about 1 1/2 weeks - but getting to that point took forever! Just hang in there!

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dbritt    4

dbritt
Posted

They returned my phone call from this morning and of course I got the same story. The medical director has had my chart for almost 2 weeks. How long does it take to review? Should I be worried? I was told that it would take no more than two weeks to be approved and here I am almost 1 month later.

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dltrautman1    27

dltrautman1
Posted

Have you heard anything?

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dbritt    4

dbritt
Posted

Have you heard anything?

They finally called me a week ago and questioning the antidepressant that I take. She said that the social worker said I was not depressed and that was conflicting information. She ordered me to have a pshychiatrict evaluation by an actual pshychiatrist. I had that done Monday and now my chart is back in the hands of the medical director. They made it sound like I was going to be approved as long as I have that Eval. I was hoping to hear back before Christmas but no luck. Thanks for asking.

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dltrautman1    27

dltrautman1
Posted

I went through the same thing except it was the dr office. I am bipolar and had to jump through extra hoops. I didn't need an official evaluation but my therapist had to answer questions and subkit something. Then - after I did all of that and got approval from Aetna - the dr office made me go to my regular dr about the meds. This was at the last moment as I was trying to get surgery before the end of the year. She could have told me in the beginning when I found out all the hoops. Hang in there!

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dbritt    4

dbritt
Posted

I am approved!!!! Merry CHRISTmas to MEEEEEEE!!

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dltrautman1    27

dltrautman1
Posted

Congrats! I am so happy for you!!!! So glad you hung in there. Get ready for a new life. I am 11 days post surgery and down 9 pounds.

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dbritt    4

dbritt
Posted

Congrats! I am so happy for you!!!! So glad you hung in there. Get ready for a new life. I am 11 days post surgery and down 9 pounds.

That is awesome! I can't wait.

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dbritt    4

dbritt
Posted

Finally got my surgery date. January 21st

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dltrautman1    27

dltrautman1
Posted

Congrats! When do you start your liquid diet?

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dbritt    4

dbritt
Posted

Congrats! When do you start your liquid diet?

I am pretty sure that it is just the day before surgery.

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