LessHumid
Confused? I am too.
Jul 23, 2014
I check in here a couple of times a week to read your success stories and questions and concerns. Lately though, I've seen a lot of this X number of appointments with the nutritionist and I'll get my date. That confuses me. I know all programs are different, but when you get right down to it the insurance companies want to see pretty much the same things: 6 months(sometimes 3, lucky bastards) with the nutritionist, psych evaluation, cardiac clearance, sleep studies, EGD, blood work... My 6th appointment with the nutritionist was July the 8th. Once she submitted everything to the office so it could be added to my chart, everything was sent to an internal review(that is happening this week). I have know idea and wasn't told how long that process is, I understand the surgeons and PAs in the program look at everything to make sure all the bases are covered. Once that's approved the Patient Navigator submits the request to your insurance company and the real wait begins. If someone out there is reading this and they're automatically approved by their insurance company as soon as they complete their 6 months, PLEASE, PLEASE, PLEASE let me know 'cause I'll drop mine and buy from your company. I have a feeling that this is not the case and they'll have to wait for approvals like everyone else. Could they be confusing being approved for surgery with receiving notice from their insurance that their plan does cover bariatric surgery and the requirements that need to be completed prior to surgery? Seriously, I read someone's blog that stated "4 more visits with the NUT and I'll get scheduled for surgery". To me that says the program submitted to the insurance company and got approval before they finished everything. How is that even possible unless they're self pay? In two months, there's no way in hell all the "standard" tests could be done and still be accurate once the 6 months are up. Maybe this is how it works now and I'm just in a super stringent, cover all bases, patient centered, realistic program, instead of one that blows smoke.
