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

Last Minute Insurance Uncertainty - Very Stressed! X Post



Recommended Posts

Hi all - I'm really stressed. My insurance denied my DS surgery. My surgeon is appealing. She's very experienced with this and is tenacious. Surgeon wants me to keep attending pre-op classes/appointments and stay on the schedule for surgery June 14! (Insurance person at her practice says they will likely have an answer w/in 15 days).

While I hope I win the appeal, I have to ask: if I'm denied again will I be on the hook for the many doctor's visits, nutritionist, psychologist, pre-op testing, etc. that have led up to this?! Why don't docs confirm the insurance *first* before getting patients in the pipeline and giving what may be false hopes?

Thanks in advance for your responses!

Share this post


Link to post
Share on other sites

I used to work as a medical administrative assistant and CNA. Sometimes it took 2-3 times to get insurance to approve something for patients. Don't lose hope. I got you in my prayers and sending good vibes your way.

Sent from my SM-G960U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

The dr visits are covered - they can consult and advise, it’s part of the required process to even submit to insurance they have to have all that info- it’s the actual surgery - mine was denied on first submission bc the exact language they wanted to see from the psychologist wasn’t there- he re-wrote it and it was approved quickly.

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

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 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

    ×