Lite'N'Sweet 60 Posted June 5, 2014 I got a letter from my medical insurance provider today. It wasn't the thick package with all the info I should have read up on. It was a thin envelope with one sheet of paper inside. I was nervous. Till I read it. And then I was confused. The first line reads: The Coordinated Care Department received a request to authorize the Predetermination service(s) for the patient named above. We have authorized the following service: Medical Services: Lap Place Gastr Adj Device But then it goes on to say: This authorization is a determination of medical necessity only. It applies only to the specific provider and services shown above. Authorization does NOT guarantee payment of benefits for these services. Payment depends on the member's plan on the date(s) the services are provided. So..... yes? They've approved me but they aren't guaranteeing that they'll pay? *does the RCA Dog pose* Anyone familiar with this? Should I be celebrating? Share this post Link to post Share on other sites
CTJohn 109 Posted June 6, 2014 Mine read the same way. They covered the whole thing. Don't worry about it Share this post Link to post Share on other sites
dylanmiles23 2,198 Posted June 6, 2014 I got a letter from my medical insurance provider today. It wasn't the thick package with all the info I should have read up on. It was a thin envelope with one sheet of paper inside. I was nervous. Till I read it. And then I was confused. The first line reads: But then it goes on to say: So..... yes? They've approved me but they aren't guaranteeing that they'll pay? *does the RCA Dog pose* Anyone familiar with this? Should I be celebrating? Call your doctors office. They understand this language. Good luck. I love my band Share this post Link to post Share on other sites
Cindysmom (Ilene) 130 Posted June 6, 2014 It says that they will pay for it. Now the Dr who will do it will have his staff tell you what you need to do. I t might take 6 months. His staff will MAKE SURE THE INS CO WILL PAY THEM. Follow all instructions. Share this post Link to post Share on other sites
TimeforTanya 30 Posted June 8, 2014 I work at a doctors office and insurance companies are required to put this stuff in there. They will cover it. Good luck and congrats!!! Share this post Link to post Share on other sites
Lite'N'Sweet 60 Posted June 17, 2014 Thanks All! Spoke to the doctor's office and it is an Approval! Got my date - July 11th. Just have to do all my pre-op stuff and then... it's off! YAY!!!! Share this post Link to post Share on other sites
