Anyone's Insurance NOT do Pre-Approvals? Help!

[marathonmommy 0]

My doc called last week and said I'm ready to go b/c I have met all of the requirements. When I seemed surprised and asked it I was approved, I was told my insurance does not do preapprovals. Doc's office said not to worry about it b/c they went down the checklist, made some calls, and I am good to go. I made it clear I cannot pay for something like this, and they said they would never have taken me for a patient if they weren't sure insurance would pay. Anyone else not able to get preapproved - not b/c you don't qualify but b/c your insurance just doesn't do it?

[ParrotheadCathy 0]

Your doctor may be sure, but obviously you aren't. Call your insurance company first thing tomorrow and discuss their requirements for approval for LBS so that you KNOW for yourself.

[stellaabbey 0]

My insurance, also, did not do pre approvals. My doctor's office said I met all the necessary requirements, but 4 days before my surgery date, I was denied. Of course, you can appeal but that would take a minimum of 30 days.

My BMI was right at 40, but my 2 year history, was below 40. Even though I had high blood pressure, it was controlled by drugs, so that is why I was denied.

Of course, the doctor's office said they were not responsible, since the insurance is between me and them.

Call the insurance company and go over with them, their requirements. It will save you grief, in the long run.

[Boykie 4]

be weary.. your doctors office may be 'sure', but when you sign the paper at the hospital, you are also undertaking to pay anything not covered by the insurance...

be cautious. i am a 'self pay', and it is a lot of money [my daughter is still pissed that i spent 'her car money'] .. just kidding, she is not...

k