Hospital is not going to submit to BCBSM until my Surgery Date?

[IJustWant2BeALoser 38]

Hi! So after reading about everyone's insurance struggles I called me Surgeon's office to find out if they submitted to my insurance company yet. They said that hospital will submit for authorization on the day of my surgery.

Um what? LMAO what if I get denied? I shouldn't, my BMI was high enough that my insurance waived the 6 months weight loss plan and I completed the psych eval and med clearance pre reqs......but now I'm starting to freak out. My Surgery is on Friday. Has anyone else been told that this is what their hospital does?

[Bufflehead 6,358]

That sounds crazy. Possibly they misunderstood your question, or some temp answered the phone? Try again and make sure you are speaking to the insurance coordinator? Possibly go in and talk in person and explain your concerns? I would make it very clear that you are not showing up at the hospital until you have written authorization from the insurance company in hand. Good luck!

[Sharon1964 2,530]

Almost every insurance plan requires advance notice of elective surgery. "Day of" is allowed for emergencies only.

[IJustWant2BeALoser 38]

AHHH just got off the phone with my insurance (BCBSM PPO) and they consider Bariatric Surgery an outpatient surgery which does not require prior authorization.

YAYAYAYAYAYYAYAYA I'm good to go on Friday!!!!

[Sharon1964 2,530]

AHHH just got off the phone with my insurance (BCBSM PPO) and they consider Bariatric Surgery an outpatient surgery which does not require prior authorization.

YAYAYAYAYAYYAYAYA I'm good to go on Friday!!!!

Okay that makes more sense. It's inpatient for my surgeon and my insurance.