Insurance Question?

[Mimi1986 9]

Has anyone ever heard of being required to see a psychiatrist for 12 months and then getting your behavioral clerance? I have been working on my approval since October 2013 and submitted everything May 4th to insurance and was just told I did not meet this requirement. I have never been told this even after multiple phone calls to my insurance over and over regarding requirements. I can't find anything online regarding this requirement and my psych doctor and my surgeons office have never heard of this. I wrote an appeal letter and sent it so I am crossing my fingers. This is BCBS of Il but is thru a Labor Union.

[carolk36 142]

I have BCBS of NC and we are required to attend just two, one hour psych evals; being required to go for a year excessive. I don't understand why insurance companies make this surgery so difficult to get when it is medically necessary. In the long run, it saves them money, not to mention it saves our lives!

Good luck with your appeal! Keep us posted.

Carol

[Mimi1986 9]

I finally got my approval and surgery date! Surgery will be September 22nd its Four months later than I thought but its way better than never.

[jomamacita7 51]

Congratulations Mimi! I'm glad things worked out for you!