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

frustrating



Recommended Posts

I went to the surgeon last week and he said the next time he saw me would be in surgery. He also did they would be sending out my insurance stuff and that they would have an answer in about a week. Me being inpatient called insurance today and they haven't even reviewed the paperwork to review yet. I know i am inpatient i just want a date. Thank you for letting me complain lol

Share this post


Link to post
Share on other sites

hang in there.... i am sure he has a great office staff and they will get it through!

Share this post


Link to post
Share on other sites

I am currently feeling obsessed with this. I have been flip flopping on wls for a few years and have finally committed myself to this. After making this decision i met with Dr the end of May and have done almost everything needed. I am scheduled for three more classes, two this week and last one next Monday. Was told when i started the classes last week that paperwork would be submitted. Maybe i will call office today

Share this post


Link to post
Share on other sites

So how does your insurance pay for this when it is cosmetic.

Just wondering because my insurance won't pay for this

Share this post


Link to post
Share on other sites

I have a bmi in the 50's with 4 comorbilities so my Dr doesn't think approval will be an issue through insurance. I think insurance companies are looking at the savings in the long run with wls. We are hoping that this surgery will completely get rid of at least 3 of my comorbilities if not all 4. My insurance also reimburses for weight watchers as well as gym memberships.

Share this post


Link to post
Share on other sites

So how does your insurance pay for this when it is cosmetic.

Just wondering because my insurance won't pay for this

It's considered medically necessary and not cosmetic by insurance companies when the patient has a BMI over 40 or a BMI over 35 with comorbidities ( health problems such as hbp, diabetes, sleep apnea etc.)

Share this post


Link to post
Share on other sites

something similar happened to me too.......I'm preop, too--the best suggestion I have for you is don't sweat it.....I'm going on 2 weeks waiting for approval......with our BMI's, I have faith it'll happen

Share this post


Link to post
Share on other sites

something similar happened to me too.......I'm preop' date=' too--the best suggestion I have for you is don't sweat it.....I'm going on 2 weeks waiting for approval......with our BMI's, I have faith it'll happen[/quote']

Have you heard anything yet? I still have no date but i do know why it's taking longer lol, apparently my insurance requires anesthesia pre approval before insurance will look at file. Hoping to know something within two weeks

Share this post


Link to post
Share on other sites

Hang in there it took me 18 months and two denials before I was finally approved and sleeved.

Share this post


Link to post
Share on other sites

More than likely they will not put your claim through til your done with your done with your classes. They are probably insurance requirements. Stay on your insurance so they are prepared and ready to approve it when it comes. My doctor staff forget to put my claim through twice once all my requirements was complete. But I got to know my insurance claims department very well so when they finally submitted my claim on Tuesday it was approved on Thursday. My doctor office was surprised as well. We taught it was going to take at least a month. Now it seems like everything is moving too fast and I feel unprepared.

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×