Livid..................

So my surgery is scheduled for 12/22.....and TODAY I get a letter from the insurance company saying that they have to complete a medical necessity review.  I started this process back in October, and they're just NOW sending me this crap?   Also, the info they sent me says that my doctor is "out of network" but that's not what my doctor told me when I first went there.  I've done too much to have to start all over again.  I've already spent money out of pocket for the meal replacements and gotten everything else in order and now it looks like I'm not going to have the surgery.

Ugh, that really sucks.  Hopefully you'll find out more, better, information tomorrow.  

Fight them! Be a squeaky wheel and fight. When someone says no, ask to speak to a superior. You have invested far too much to just accept their decision.

they should be able to transfer all your results to a dr that IS in network and shouldnt be too much of a delay. I had that happen to me when I did my lap band back in 2011.

I am surprised the initially you were scheduled for surgery after such a short time. My insurance company required a 6 month work up period.during that time I had to see my family doctor monthly, and lose some weight. 

My doctor required evaluations from a psychiatrist, a psychologist, a gastroenterologist, a cardiologist a pulmonary specialist, a sleep study, if necessary. 

I seemed very long to me but in the long run, I was deemed healthy enough to go through surgery. I had to be on a liquid protein diet for 2 weeks pre operatively, to shrink the liver to make surgery safer.

it stinks that they are delaying your surgery. As suggested above contact your insurance company and insist on speaking with the person who made the decision to delay the surgery, then go up the chain, a. If you still get no satisfaction, just ask for the legal department and remind them that you have a contract with them that they must honor. Once they said yes, they shouldn't be able to change their decision.

good luck.

Make sure the insurance company didn't miss any required deadlines. In New Jersey, there are lots of notification deadlines they are required to meet. Try to work that angle because once I started letting my insurance company know that I was aware of the regulations and policies, they were on top of things and backtracked a little on my delays, etc. If you do your homework, you may be able to find out that they took a misstep and then you can use that to your advantage. If you already had approval and authorization, I don't think they can take that away from you, especially after a certain amount of time has passed! My surgeon's office doesn't schedule surgeries until the insurance authorization is on the books - the pre-op diet alone is hard enough to then deal with a surgery cancelling! Best wishes and good luck. I followed up everything my surgeon's insurance specialist said with my insurance company and vice versa just to keep everyone on their toes! My insurance company ended up assigning a manager to handle my case and that helped SO MUCH! She actually started to make sure the medical management side of the company was doing all they were supposed to... they are required for follow protocol! If what you are hearing raises a red flag of unfairness, it just may be that someone made a mistake! Good luck!

let your surgeons office know so they can also get in on the fight. 

No way. My heart breaks for you. I'm sorry you have to thru all the BS. Keep us posted to what the out come is.

Have you heard anything yet? I'm so sorry you're dealing with this......good luck! 

Ok, so the insurance company is dumb...I know that comes as a shock for some people.  I talked to my drs office and they confirmed that they are in the preferred network and are actually one of the centers for excellence award winners for bcbs.  They are taking care of it now and are supposed to be back in contact with me soon.  They told me that I am still having surgery on 12/22 and that everything is to go as originally planned.  Thanks for all the responses and I'm sorry if I went off a little half ****ed.  Just very emotional these days.