Once Insurance Approves Can They Take it Back?

[lingre 54]

Irrational fear #47...once approved can insurance come back and decline my pre-auth?

[GreenTealael 25,337]

10 minutes ago, lingre said:

Irrational fear #47...once approved can insurance come back and decline my pre-auth?

What in the Freud !?!?

[Deedee12 1,860]

[emoji1][emoji1][emoji1]

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[Krimsonbutterflies 661]

Well????

[Deedee12 1,860]

Well????

No!!!

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[ARMoma45 353]

The only way I can see that happening is if your Dr or hospital fell out of the guidelines required by insurance...ex. no longer a preferred facility or maybe your Dr changed hospitals that he uses. The later happened to me and I had to decide if I wanted to change Drs or go with the original to another hospital.

[2Bsmaller18 436]

My MD said if the morning of surgery I weighed in with less than a 35 BMI they wouldn't do surgery since insurance will deny it. Otherwise I think you are good.

[lingre 54]

I will not get under the BMI limit by surgery so I don’t have that to worry about. My worry is that opposite actually...I was put on some blood pressure meds that made me gain around 15 lbs since my original consult. I have lost that weight but barely and worried I will weigh in a few lbs over my weight they saw me last even though I have been working hard to get things back under control.

[Frustr8 7,886]

Sending Prayers🙏Your Way- I Believe in YOU so now YOU believe in TOU YOU!❤

[ProudGrammy 8,322]

18 hours ago, lingre said:

once approved can insurance come back and decline my pre-auth?

@lingre

i have seen/heard from OP the same fear

some OP might have lost weight, way below the required BMI - w/no co-morbities

more often, i've seen OP scared because they gained a lot of weight- showing non-compliance

with their eating pre-op

After saying the above, watch your eating, don't worry too much, (gives you wrinkles!!)

doc might say you have to lose more weight before WLS, BUT i don't think

insurance can be taken away after it was approved

good luck

kathy

[lingre 54]

Just left my pre-op and was actually down 6 lbs since my original consult visit (plus I also lost the 15 I gained due my reaction to beta blocker meds). I could not be happier about this and I officially start the pre-op 4 week diet tomorrow! This is about to get real😀.

[ProudGrammy 8,322]

23 hours ago, lingre said:

pre-op 4 week diet tomorrow! This is about to get real😀.

@lingre

great news!!! pre-op is challenging at times - you have a long hard road

ahead - ups and downs - but wonderful

you'll enjoy seeing "less and less" of yourself til you reach GOAL. butttttt,

the journey now continues/begins with proper eating/moderation et al for

the rest of your life.

The ends justifies the means!! you will do grrrrrreat!☺️

good luck

kathy