Curious

[CoolBrze198 0]

In what order does everything happen from the beginning...

I faxed some paper work into the Dr. office. Will I be set up with the initial meeting. I have already attended a seminar.

Then when does the Dr try to get pre-authorization from the Ins. co. Is that before or after the psych eval.? I have requested all my records from previous dr's. Should have them with in a week or so.

Just wondering what stages you went thru?? And the length of time it took.

:help:

TIA, Rosanna

[5jacks 0]

Find out what your insurance requires. Then, if you've met all the requirements, the surgeons office should file all paperwork with the insurance company for you. Then you wait to see if approved or denied.....if denied the insurance company will say why and you work on it from there! That is the way it was my my situation....some are better, some worse. My insurance co. wanted a psych eval after a 3 month dietician approved diet. After that was complete, we filed and they came back with a denied decision. They said I needed to prove I had been overweight for over 5 years.....got ahold of Gynecologist and regular physician, produced paperwork, surgeon filed an appeal and I was approved about 6 weeks later. Good luck, hope everythings works out well!

[CoolBrze198 0]

The requirements are:

* Minimum of 40 BMI

* Documentation from a Physician of a diagnosis of morbid obesity for a minimum of 5 years :omg:

* Over 21 years old

* Surgery is preformed at a network hospital by a network surgeon even if there are no network hospitals near you..

Being they want a 5 yr documentation.. I am getting a copy of all my records.

Then I was told that I would be covered 80% after my deductible.

Any other hints, stories or anything you want to share is welcome.

Thanks again,

Rosanna

[5jacks 0]

Sounds like you've got it under control! The only other thing I could say is find out from your insurance company how long it usually takes for a decision. When the surgeon sent in my appeal I waited for a long time with no response from the insurance company. Finally after 5 1/2 weeks I called the insurance company myself....found out the paperwork was in the wrong department, that very day they sent out a letter with the approval info. Guess what I'm saying is the doctors office's have a lot of papers going in, if it has exceeded the time usually allowed then check in to it yourself, don't wait.