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

Approval Hell!



Recommended Posts

My Doctor told me I should seek out getting the band done in Dec. Had a consultation with the surgeon on Jan 2.

He told me what I needed, had a sheet on what package of records and tests I needed done. Finished everything including my Psych eval by the Feb 5.

The surgeon's office called back and said they needed more documentation from my PCP and so they called his office and they sent more. Well that apparently wasn't enough so now they are bouncing back and forth.

Now its April 13th and my head is about to explode because the surgeon is waiting on just one letter from my doctor before they send into the insurance company.

Now I hear 3 people who had to wait 5 weeks before the same insurance company would approve. I am very depressed because I love my surgeon but I am suppose to be moving to Florida by the end of the summer and don't know now if I should stick with him or after I get approved just find a new doctor in Florida.

Should I stay on course get approved and have the surgery?

Should I get approved then see if the surgeon will refer me to another surgeon in Florida?

Should I tell both my PCP and WLS surgeon I am moving and to forget the whole thing?

I really don't know because I am worried about these things:

1. Surgeon finding out I am moving and flat out refuse to do surgery and shut the door.

2. PCP will find out I am moving and shut the door on approving me.

3. If no one knows I am moving, will I be able to find a doctor to help me after I get surgery.

4. If I get approved and the surgeon won;t do it now will I have to get pre approved again if I change to a Florida doctor?

Share this post


Link to post
Share on other sites

First of all, take a deep breath :tongue:

Your situation is very similar to mine.

My advice to you is to be upfront with your doctors. You are most certainly not the first person to have surgery and then relocate. Being up front may even help you in the long run to speed things up.

I started the process for WLS in December. In January I attended to seminar. While waiting for my other appointments, I found out we were moving in MAY. The first thing I did was tell both my PCP and my surgeon's office so that they knew I was under a severe time crunch. I did not want to start the whole process here only to be banded at another facility or have to start over.

After all was said and done, my surgeon put a rush on the approval for insurance. Like you, my insurance required more documents which took 10 days. Once they had them, they approved me the very same day.

Tell your doctors and be upfront with them. That's the only way they can really help you get this done. :biggrin:

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

    • 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

      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

        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

      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

      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

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

    • Ladiva04

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

    ×