rxtine 20 Posted April 20, 2013 My surgery was denied two months ago for not enough pre required visits, my insurance originally told us I only needed 4, 1 each month they denied within 3 days stating to my WLS office I needed 6 months of visits, I finished and they resubmitted yesterday! I called my ins today it is being reviewed and they said it can take up to 10 days, not to bad. But I'm so hoping they don't find or try something else stupid saying I need to do or I'm not qualified etc! I want to be revised from band to sleeve I'm so done with being overweight!! 1 Iniysa reacted to this Share this post Link to post Share on other sites
makemyownluck 785 Posted April 20, 2013 Oh wow, I didn't think revision surgeries required the supervised diet stuff... I'm sure it varies by company. Anyway, good luck to you! 1 rxtine reacted to this Share this post Link to post Share on other sites
Iniysa 157 Posted April 20, 2013 Good luck!!! 1 rxtine reacted to this Share this post Link to post Share on other sites
rxtine 20 Posted April 20, 2013 We werent sure either! I'm still unsure just going with the flow!! Thanks for the good lucks! I'm hoping by Wednesday to hear something, I will be calling! :-) Share this post Link to post Share on other sites
makemyownluck 785 Posted April 21, 2013 We werent sure either! I'm still unsure just going with the flow!! Thanks for the good lucks! I'm hoping by Wednesday to hear something' date=' I will be calling! :-)[/quote'] Definitely call them, maybe even mention to your insurance company that this is a revision surgery and verify that you have to go through this process for a revision. Things get messed up all the time and I'd hate to wait for no reason! Good luck again, and keep us posted! Share this post Link to post Share on other sites
rxtine 20 Posted April 21, 2013 Well I've already waited the 6 months and done the appointments! I'm following the doctors offices insurance coordinators instructions even tho the process seems flakey. However, It wasn't communicated right the first time after 3 months we submitted after the 4th appointment and when I heard I needed two more appointments for 2 months I was CRUSHED! But I gotta do it! I'm so sick of being in this body tho! Even if I get approval I have to wait till June 10th for surgery, earliest opening because they have to do it at a blue distinction center (which is the actual hospital) and not the surgeons hospital where I was banded, I loved it there tho! But they only do surgeries at the hospital ever other Monday and Memorial Day is in there and the other two Mondays are booked! So, ugh for waiting! Share this post Link to post Share on other sites
rxtine 20 Posted April 25, 2013 I was APPROVED!! 2 makemyownluck and Mocha-NJ reacted to this Share this post Link to post Share on other sites