OMG I hate getting the run around!

Tammy22 · January 10, 2005

Just a little venting and an update.. Well as you all know I managed to get my referral but the nurse is taking her sweet time on sending it to Dr. Smith. So, I took it upon myself to call Dr. Smiths office to let them know that my nurse is suppose to be sending a refferal.. I asked her for the next date for the seminar to attend and that date is Jan. 22nd.. Well after she had told me that, she asked what insurance I had. I was thinking to myself ohhh no not again. I told her TRICARE Prime and she replied TRICARE prime is no longer convering the LAP Band procedure. I was like what and once again begin to get tears in my eyes. I couldnt believe that was possible and told her that I had just recently talked to my insurance and they said it was covered. So, she gave me a # to a lady who deals with patients whos insurance wont cover tha LAP Band. I told her what I was told and she said she has about 30 TRICARE Prime patients whos dealing with the same thing.. Well I took action on it again and was on the phone about an hr with TRICARE and luckly I got a good lady who was a great help and researched everything she could and called all the #s I had to my drs.. I got good news TRICARE PRIME WILL PAY FOR IT!!! I was soooo happy.. After she told me that I had her call Dr. Smiths office personaly and tell them as well. She made a note in my record they have that it is covered so I wont have this problem again. After I got off the phone with her I called Dr. Smiths office again and the same lady answered and she was soo happy that I did all that work and got good news. She said she has to tell everyone about TRICARE not accepting but gets told all the time that they wont cover it. It made no sence to me but as long as nothing else gets in the way with everything else, ill be happy. I now have a new patient app. set up for Jan 26th. then after that I can set up my other 2 appts thata re needed.. WOW this has been a day... I pray that this all works out.. Thanx for reading..

Petunia · January 10, 2005

you go girl. Keep plugging away until you get some positive answers!

blossom · January 10, 2005

You go girl!!!! I love your No is NOT acceptable attitude!

New Hope · January 11, 2005

You ARE worth it!!! Hang in there, girl!

Tammy22 · January 11, 2005

Thanx so much for the kind words of encouragement. They are greatly appreciated for sure. Everyone on here is a inspiration to me..

Alexandra · January 11, 2005

As an insurance broker I see all the time that persistance pays off! Half the time the carrier has automatic processes in place to deny claims or precerts that are even a tiny bit off the radar scope just on the chance that people will give up and go away. And they often do! So just by keeping on you're vastly increasing your chances of success.

You go, girl!! And good luck at your appointment!