Jump to content
×
Are you looking for the BariatricPal Store? Go now!

denied atena your not my friend :( surgery was tommorow called today and got denied



Recommended Posts

antena told me they never received proof of my high blood pressure high colestral,and bmi over 35 i have all of that every time i went for any testing including pre admission they wanted a list of medicines they are also on my clinicals .someones lying either my doctor messed up or atena is lying so they wont have to pay for surgery

Share this post


Link to post
Share on other sites

OH NO!!!! That is the unfairest of things to have happen the day before surgery :(

Did they give you any idea how long until they will re-look at your claim???

Share this post


Link to post
Share on other sites

Sorry that happened to you!

My Dr would not schedule surgery until ins was approved.

Guess I thought they were all like that.

Share this post


Link to post
Share on other sites

antena told me they never received proof of my high blood pressure high colestral' date='and bmi over 35 i have all of that every time i went for any testing including pre admission they wanted a list of medicines they are also on my clinicals .someones lying either my doctor messed up or atena is lying so they wont have to pay for surgery[/quote']

Sorry to hear that....mine gives a fake date to the insurance Co, but never gave it to me...they don't "really" schedule it until they have the written approval in hand. I guess now that is a good thing.....will they appeal it for you??

Share this post


Link to post
Share on other sites

OH NO!!!! That is the unfairest of things to have happen the day before surgery :(

Did they give you any idea how long until they will re-look at your claim???

Peer to peer thursday

Share this post


Link to post
Share on other sites

Sorry to hear that....mine gives a fake date to the insurance Co' date=' but never gave it to me...they don't "really" schedule it until they have the written approval in hand. I guess now that is a good thing.....will they appeal it for you??[/quote']

Yes they r

Share this post


Link to post
Share on other sites

Sorry that happened to you!

My Dr would not schedule surgery until ins was approved.

Guess I thought they were all like that.

Im just so sad been cryin all day why did they give me a date im already on loa ect husband took vacation. So unfair the eay they did tbis

Share this post


Link to post
Share on other sites

I think it's the doctor. They are suppose to send everything in and get approved. Aetna wouldn't have contacted you the doctors office dropped the ball. So did the cAncel the surgery too? The doctor should have been on the phone with them working it out.

Share this post


Link to post
Share on other sites

I think it's the doctor. They are suppose to send everything in and get approved. Aetna wouldn't have contacted you the doctors office dropped the ball. So did the cAncel the surgery too? The doctor should have been on the phone with them working it out.

Yes it was canceled he has a peer to peer thurs for appeal

Share this post


Link to post
Share on other sites

Im just so sad been cryin all day why did they give me a date im already on loa ect husband took vacation. So unfair the eay they did tbis

So sorry they did that and you have to go through this...praying for you!

Share this post


Link to post
Share on other sites

Sorry that happened to you!

My Dr would not schedule surgery until ins was approved.

Guess I thought they were all like that.

yes thats what i dont understand i even asked the program manger what to do sould i goahead and put in my loa and she said yes

Share this post


Link to post
Share on other sites

Aetna denied me too this week!!!! They are looking at my weight from 4 years ago!!!!!!!!!!!!! I'm so mad!! Now I have to fix this issue and go trough this appeal process:( uhg I'm suppose to have the best coverage plan but having nothing but issues with them!!

Share this post


Link to post
Share on other sites

I feel guilty! Y'all are way more deservimg than me and Aetna approved me without any hassel. However, I think the ladies that deal with the insurance at the dr office were awesome. They told me what I would need and we got it done. I only had one little curve ball at the end. Hang in there. I have prayers and confidence the appeal will work. Your doctor should go to bat for you!! Everyone let me know what happens.

Share this post


Link to post
Share on other sites

I feel guilty! Y'all are way more deservimg than me and Aetna approved me without any hassel. However' date=' I think the ladies that deal with the insurance at the dr office were awesome. They told me what I would need and we got it done. I only had one little curve ball at the end. Hang in there. I have prayers and confidence the appeal will work. Your doctor should go to bat for you!! Everyone let me know what happens.[/quote']

U deserve it as much as us

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

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

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

      2. 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.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • 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

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

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

        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

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×