Waiting for Pre Authorization Ugh

[Jadane_dm 34]

My final weigh in after my 6 month supervised diet was last Thursday July 21st. I made sure that I got done all my required testing and paperwork before that date so that on Thursday my claim can be sent to my insurance company for approval. My NUT said if my insurance coordinator sends my claim in on Thursday then I should hear something on The following Monday which was 2 days ago. I've been calling my insurance company everyday which is Highmark BCBS and they keep telling me they don't see anything. I've made several calls to my insurance coordinator basically blowing up her phone and she doesn't answer. I'm getting really frustrated because I already had to wait 6 months and I'm hoping to get in for surgery mid August and my NUT told me they only have spots for the end of August because all the teachers and students who want to get their surgery done before back to school. I'm a student too, but that's beside the point it's driving me crazy waiting because and I'm aggravated at my hospital because it seems to me like they have no urgency! Anybody else is or was stressed out waiting for an approval.

Also the waiting game and stress really causes havoc on an emotional eater. Not having anymore scheduled visits and hearing my insurance company say an approval can be a 30 day process is making me cheat on my diet because I "have time". If anyone can relate to date.

Sent from my iPhone using the BariatricPal App

[Armygalbonnie 643]

Do you live close to the weight loss center, where you can physically go there and check to see what is going on? I can completely understand your frustrations; however, don't let this time set you back on what you've worked so hard to achieve. Try to work through your emotions instead of eat through them. In the long run, you will feel success!

[Jadane_dm 34]

I called my insurance company yesterday at 4:30pm and they finally said they had received my paperwork at 3:30pm the same day. My insurance coordinator left me a message saying she had just faxed my paperwork over yesterday at 3:00pm saying it was 55 pages of documents. I had called her yesterday morning and left a message. If I hadn't had kept calling her I'm sure it would have been a few more days if not a week or to before she faxed it, because I was under the impression that she faxed it last Thursday after my final weigh like she said she was going to but she did 5 business days later. Moral of the story everyone needs to check up on the pre authorization paperwork. We've all work to hard during pre op making sure we've got all these test done and required visits and waiting then was hard enough so we shouldn't have to go through anymore unnecessary waiting.

Sent from my iPhone using the BariatricPal App

[Armygalbonnie 643]

YAY!!!! Hopefully your insurance will authorize before the 30 days. At least you can now see a little bit of that silver lining. I agree, you have to stay on top of things. We are our own best advocates. You will be having that surgery soon, and you are on your weigh to a happy, beautiful life.

[Christenb180 20]

I too last week on the 20th finished my last of the 6 visit I had to complete with the nutritionist. They said it would take like 7 days and I have been making myself crazy checking the insurance website, finally I emailed the Nurse navigator and was like wasup? lol she told me they submitted everything and were just waiting on the approval from the insurance company. I hating waiting and I lack patience so I'm dying Good luck to you!

[Jadane_dm 34]

I too last week on the 20th finished my last of the 6 visit I had to complete with the nutritionist. They said it would take like 7 days and I have been making myself crazy checking the insurance website, finally I emailed the Nurse navigator and was like wasup? lol she told me they submitted everything and were just waiting on the approval from the insurance company. I hating waiting and I lack patience so I'm dying Good luck to you!

Yeah I seriously can't take it. I call the insurance company like 2-3 times a day. I really wish I could hear something back from them today and then from my insurance coordinator with a date. I'm still in the process of gathering my money for my $2000 deductible so I'd like to know when my date is so I can eliminate the stress of having the money in time. It's tortureee!!

Sent from my iPhone using the BariatricPal App