Insurance

[tphillips124 6]

Sent mine to insurance on the 1st and called them on the 3rd just to make sure they had received it and they had. This is the second time to be sent in the first time it was denied because they said I did not have the 6 months in for pcp visits and that was the only reason. However, I am afraid they will find another reason since I have met all my deductibles this year. Has anyone ever been denied the second time with insurance? Any reply would de appreciated so worried about this!!!!

[starbuckscoffeegal 36]

Just out of curiosity... But why didn't your surgeon submit to your insurance company? Especially regarding the medical records?

[HappiTam 19]

Unfortunately all insurance policies are different. I would call the insurance company a couple different times to get multiple explanations from different people that work there. Sometimes someone can just explain things better than others.

My prior insurance company would not cover bariatric surgery. In 2001, it was recommended for my severe GERD, my records had shown the need, but it was denied. I tried appealing the decision without success. Fast forward thirteen years and multiple failed surgeries, again it was denied even with many specialists stating that it now was my only option.

As of 2015, my employers insurance carrier was changed. I was prepared to again battle it out with an insurance company and stressed about it daily. It was submitted to the new carrier on 1/9/15. Today, I called to verify it was received and found out it had already been approved as of 1/13/15. I was (still am) in shock.

I'm hoping you get a similar surprise soon.