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elgible = Approved?



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Is being eligible for the service of gastric sleeve, the same as being approved? I got a call from my surgeon's office letting me know I was approved for surgery, and now just need to complete their requirements (pulmonlogist visit) before I can get a date. I recieved a letter copied to me, that my surgeon recieved from the insurance company saying I was eligible for the services. Was just focused on that word "approved" so was wondering if that meant the same thing! ha ha.

Edited by sleeveittobelieveit

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Typically yes you are approved. My guess is the insurance company used the word eligible because there are some things that need to be completed before you can get a surgery date.

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I work in insurance and I wouldn't accept that as approved.

Approved is approved

Eligible means I have coverage, service coverage is available, and maybe I can get approved

I would get something else from your carrier. Specifically a phone call, someone's name and employee id

Log the time and date of call

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I think they're hedging their bets and won't give final approval until all program requirements are met.

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The insurance company isn't going to approve you until you have gone through the process required for approval. Eligible means your insurance covers it and you meet the basic criteria.

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