Waiting Game

[firstplacetrofe 13]

HI everyone. I'm new to the site. I started this process back in February. I did my 6 month medically supervised weight loss already and I finished up in August. My surgeon submitted all the paperwork including all the pre-op testing and evaluations. The insurance denied it saying everything was in order except that they needed a letter from my primary saying that they recommended me for surgery. Seriously! After 6 months of weight management plus giving me a clearance for surgery they denied it for no formal letter. We submitted that letter over a weeke ago and we are still waiting to hear back. Hopefully I will have a date soon!

[L Belle 96]

I went through the same thing! Luckily, after they received the letter from my PCP, it was a day or two and I was approved. Hope you hear soon! Keep us updated.

[BBdoodle 483]

Fortunately I did not have to do the 6 month diet thing, but my surgeon did require a letter from my primary PRIOR to submitting everything to the insurance company. My surgeon even has a form letter that hits all the subjects that the insurance likes to hear and see. So I just gave that form letter to my primary and he just added a few things and copied it to his letterhead and every thing was approved like in 4 days.

[firstplacetrofe 13]

I'm approved! Surgery date is October 18th. Excited and nervous all rolled into one!

[Vicki Loichinger 444]

So happy for you. Not too far away now.

[LosingItForMe2011 320]

Went through the exact same thing except my PCP went on vacation so I couldn't get the letter. Her office wouldn't write one wihtout her even with all my records being there. I had to wait two weeks for the letter which pushed my already scheduled surgery out another month. Worse part was she has written a letter and it was submitted but, she didn't use the words "medically released" in her letter just that she recommends me to have it and felt I would benefit from it. Unreal....so another letter went out when she got back it surgery was approved in days.

[Dancer1 11]

Hi....I started at the same time you did and I just now got the approval from my insurance....I'm going into my 9th month trying to get this done and the wait is still not over for me. The doctor I use will not schedule the surgery until he has the actual approval letter in hand, regardless of the fact that my insurance called and gave them a verbal approval. So frustrating to be so close and still the wait continues...

[kisersassy 369]

I didn't have to have a letter from pcp I did all 6 months at the weight loss center. I knew that would be nest because they know exactly what the insurance company would need