Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Grrrrr...venting



Recommended Posts

I had soooooo hoped that I'd make it through this pre-surgical hoop-jumping without any major problems. But I called my insurance company today to make sure they'd gotten the pre-authorization and to see if they could give me an idea when they'd make a decision. Nope--they don't have any pre-auths on file for me.

So I called the surgical team, and after being passed to 4 different people and leaving a message at the last desk, I got a call from someone who told me they couldn't send in my pre-authorization because I still had to be cleared by "the team." Who hasn't cleared me that needs to? I asked. Well, it looks like I still need more NUT sessions and another psych appt. So I very patiently explained that my insurance company had specifically said they wouldn't pay for any more NUT sessions, and the nutritionist had told me 2 weeks ago that she was going to send in the pre-auth. Oh, no, young clerk explains, the psych also has to sign off. But 2 1/2 weeks ago, she specifically told me she was not going to require that I come back in because I was done with the NUT and it seemed unnecessary to her for me to travel 2 hours just to "check in" with her one more time--I explained to the clerk.

I had to go through it twice more before she seemed to understand that perhaps this was different from their usual process, because the insurance company standards were different. I assured her that I have no problem with making more appointments, but I need to know that A) they are necessary, and B.) my insurance company will pay for them. She said she'll check with the psychiatrist and get back to me.

So I know it's not the end of the world. But I had really hoped that if there was going to be some incompetence to be overcome along the way, it would come from the insurance company and not my surgeon's office. :unsure:

OK, venting done. I feel better now.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×