Approved... But having provider doubts.

[Beelzebubbles 1]

So after 4+ months of going through all the insurance prerequisites (sleep study, heart test, psych eval, EGD, nutrition classes) I've been approved, but I'm really starting to have doubts about the facility. First, they tried to rush me into a surgery date that doesn't work for me (I have no one available to take me that day. They wanted me to take an Uber!), second, turned out that the reason they refused a later date for me was because my surgeon was no longer going to be at the facility (meaning I'd never even see her again for aftercare). Third, I want a night or two in the hospital and they only operate on outpatient basis. Fourth, they take ages to return my phonecalls! I leave messages for my coordinator over and over and right now I'm still waiting on a return call from Monday (it's Friday). Any single issue, I could likely cope with, but this has gotten out of hand!

I found a surgeon that is closer to me and so far, checks all my boxes, plus he has stellar reviews, unlike the facility I was going with initially (the reviews were decent, but it turned out that the surgeon with the good reviews was no longer there, and they have crazy high turnover).

How much will I have to redo to change providers? I honestly don't care if it's everything, as long as it doesn't take another 4 months. My insurance letter (BCBS Fed), states I'm approved for 6 months at that facility. So will all the tests I've had done transfer to the new place? I'm terrified to have another heart test, because they had to do a chemical stress test and it was awful. The sleep study was also pretty bad because I have fibromyalgia.

Any info will be so appreciated!

[Glamgirl 63]

Honestly I would definitely go with your gut instinct on this one... not sure on the tests and having to redo them. I would think you could get all your records and transfer them. Hopefully it can be done seamlessly. Good luck to you!

Edited March 13, 2018 by Glamgirl

[frust8 963]

I'm sure your records should transfer, the insurance hmmm? Did you make sure BCBS Fed has the new hospital,and surgeon in their network? If not you might have to see,if they'll run you as a Single Case. Another,person on BP who works in the insurance industry called it that. Means that although they might be not contracted there they let you through as kind of special thing. I don't have to worry, Medicare is accepted most everywhere, it can be a cash cow for them. Medicare doesn't pay top dollar for procedures but they do pay steadily.

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