Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Bariatric team approval?

Danielleh

By Danielleh, in Insurance & Financing

Recommended Posts

Danielleh    48

Danielleh
Posted

I completed all my requirements on 11/4. The patient coordinator said that she will upload it all to my chart for the team to approve it to be sent to my insurance.

How long did it take your team to approve your chart to be sent to your insurance? The representative for my surgeons office said a few weeks. -_-

Sent from my SM-A205U using BariatricPal mobile app

Share this post

Link to post
Share on other sites

lvidacovich    372

lvidacovich
Posted

Highly dependent on your specific insurance. Mine took less than a week.

Share this post

Link to post
Share on other sites

SorryNameTaken    85

SorryNameTaken
Posted

We have so many visits with my clinic that as long as you had done your requirements, your chart is ready to send on your final visit. So mine was completed that day.

It was completed on a Friday, she sent it into insurance the next Monday, and insurance came back with an approval on Tuesday.

Share this post

Link to post
Share on other sites

Danielleh    48

Danielleh
Posted

Highly dependent on your specific insurance. Mine took less than a week.
I have Staywell Medicaid. Hopefully mine doesn't take forever. [emoji24]

Sent from my SM-A205U using BariatricPal mobile app

Share this post

Link to post
Share on other sites

Danielleh    48

Danielleh
Posted

We have so many visits with my clinic that as long as you had done your requirements, your chart is ready to send on your final visit. So mine was completed that day.

It was completed on a Friday, she sent it into insurance the next Monday, and insurance came back with an approval on Tuesday.
They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

Share this post

Link to post
Share on other sites

lvidacovich    372

lvidacovich
Posted

1 minute ago, Danielleh said:

I have Staywell Medicaid. Hopefully mine doesn't take forever.

Sent from my SM-A205U using BariatricPal mobile app

Medicaid can be tough, might be why they told you so long. Keep on them and call them as much as you want until they decide!

Mine was a state specific BCBS and it went pretty smoothly but they just got the $130k bill from the hospital and doctor so we'll see how they react to that lol. I met my out of pocket for the year so it should cost me nothing.

Share this post

Link to post
Share on other sites

SorryNameTaken    85

SorryNameTaken
Posted

2 hours ago, Danielleh said:

They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

I'm sending out lots of good thoughts you get the call soon!

I think mine was so quick because my insurance was changing and no longer allowing bariatric surgery, so it was a race against the clock to get me on the surgery table before the change happened! I suspect my patient coordinator had something to do with it going so fast out of desperation, she said it usually takes one to two weeks, so I'm crossing my fingers for you that it's quick!

Danielleh reacted to this

Share this post

Link to post
Share on other sites

november11    970

november11
Posted

On ‎11‎/‎8‎/‎2019 at 1:52 PM, Danielleh said:

They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

how did it go ? did you get your approval ?

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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      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.
    • cryoder22

      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

        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

      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

      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

        NeonRaven8919

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

    • Ladiva04

      Ladiva04

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

        NeonRaven8919

        Congrats on the surgery!

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×