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

I need someones opinion



Recommended Posts

I called my insurance 7 months prior to surgery just after I went to the WL seminar and was told bariatric surgery was covered under my contract. My surgeons office also received written approval prior to scheduling my surgery date. After surgery I found they covered the hospital, anesthesiologist and pathologist but denying the surgeon bill. They also covered 6 months of dr appts, psych eval and other required steps. I have filed an appeal.

Update- I received in the mail a denial for my 1st appeal. Denied as uncovered. Just the surgeon's bill, not the hospital, anesthesiologists or pathologist. So today I was doing to fill out the forms for my 2nd appeal which would involve my employer. I checked Priority Health's website which I've done frequently since surgery and the claim appeared to have been paid??? hmmm I didn't want to get too excited. I had a 1pm 3 month f/u apt and confirmed with the office that PH had indeed paid the claim. They still haven't told me. Glad I didn't send in the 2nd appeal without checking:) Sure made my day!!!!!!

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

  • 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

    ×