Insurance Companies... Oh What Fun!

[L Belle 96]

And the fun starts, all my paperwork was submitted by my surgeon at the end of August. Then they come back and say they needed medical clearance from my PCP. So I had to make an appt to see her last week, and she wrote on her letter head that she gave me a per-op evaluation and that I had medical clearance. And of course, that'sssss not good enough.

Now the insurance wants a more detailed letter from her stating that she recommends me for the surgery, and reasons, and then medical clearance. Blah blah so on and so on.

They are such a pain in the a**.

[bekki03 51]

It can be SUCH a pain. How is it the insurance companies have the right to do that? I know they are trying to not pay for any unneeded surgery...but your PCP reccommended you for a reason. Good luck hon. Crossing my fingers for you.

[Jordan Bee 13]

Good luck!! I know I am about to play that waiting game myself. Everything should be submitted this week. And I am already quite the nervous Nelly, so I am sure I am going to be worried sick hoping to get that green light of approval. I hope things work out for you!

[L Belle 96]

It's just frustrating because I've done everything else they asked of me, kept all my appts, evaluations, psych eval. Took time off from work, and they still want to be a pain. Sorry, I'm just venting here. But thanks for the well wishes.

[TinyMamiOf3kids 1,280]

Wth smack them!! Now I'm mad! It's not even happening to me Lolz.

123 breathing. Ok I guess you have to hold it in & get mire detail paper. When you get the paper & your surgery take the paper and tell them wipe you ..... With it.

[L Belle 96]

Lol Mami, I seriously had to catch myself on the phone with them today. I like your idea!

[TinyMamiOf3kids 1,280]

Lol Mami' date=' I seriously had to catch myself on the phone with them today. I like your idea![/quote']

Good insurance companies most are hard to deal with.

[L Belle 96]

OK so apparently the person I talked to this morning had old info. Because my surgeon's office just called and I am APPROVED!!!!!! woohooooo, i'm sitting here in tears I am so excited. My surgery is scheduled for 10/15! Only a month away.

[BBdoodle 483]

Getting my general physican's letter was the most difficult when I got my clearance. My RNY doctor provided a formatted letter where all your personal doctor had to do was copy it to his letter head and sign. My personal physican was all ok with it but it was getting his staff to get his signature etc. etc. it was all the office red tape that was the pain in the but. The letter was written in a way that gave the insurance company exactly what the ask for etc. etc.

[TinyMamiOf3kids 1,280]

OK so apparently the person I talked to this morning had old info. Because my surgeon's office just called and I am APPROVED!!!!!! woohooooo' date=' i'm sitting here in tears I am so excited. My surgery is scheduled for 10/15! Only a month away.[/quote']

I have the biggest smile you would think I was approve again

Excuse my face no make up & yes I always wear a cap.

[L Belle 96]

Awwww, you're awesome! I can't stop smiling! I am so happy. Now I have to get all my appts situated. She scheduled 4 when she called with a date, now I have to call the hospital and schedule the other ones.

[kisersassy 369]

I wonder if I will have to do that. I had a choice to either get a letter of recommendation and have my pcp do monthly weigh ins etc. Or just have the weight loss center do it. So figuring the weight loss center where my surgeon works would know exactly what the insurance company is looking for, I chose that way. Instead of the pcp way

[L Belle 96]

I wonder if I will have to do that. I had a choice to either get a letter of recommendation and have my pcp do monthly weigh ins etc. Or just have the weight loss center do it. So figuring the weight loss center where my surgeon works would know exactly what the insurance company is looking for, I chose that way. Instead of the pcp way

I have been doing all my requirements thru a WLS, but the Insurance still required a letter from my PCP.

[kisersassy 369]

Well I go September 24 for my monthly weigh in...I will definitely ask to see so that I wont have to go through that. What insurance do Yu have?

[bekki03 51]

That is so great! Congrats! And we will be there for you every step of the way.