Question:
Has Anyone Ever been Approved without even knowing it at first?
I was approved to have a Gastric Bypass on June 10th 2002 and the Surgeon had not even sent in the request letter yet. I believe what happened was that my pcp submitted all of my test results along with her request and they approved it that way. The Surgeons office is still trying to figure out how I got approved on the first try so quickly and without the Surgeons letter. Has this happened to anyone else? — Hotdiva (posted on June 20, 2002)
June 20, 2002
If you got approved that quickly, I wouldn't complain about it. You are
probably one of the very lucky few to have that happen that way. Good Luck
and best wishes.
— Dell H.
June 20, 2002
Isabella, first off, CONGRATULATIONS! I wish you the best of luck!
Secondly, I had something similiar happen to me. I was told by my ins.
company (Cigna HMO) that I had been authorized for a certain date---but my
surgeon's office had not heard this--and refused to believe it until they
had the actual approval on their desk! What actually happened to me was
that it passed the medical review and I was given a tentative date in
Cigna's computer. Then, when the BIG guy got my info and approved
it...that's when my surgeon's office got the approval notice and scheduled
me. My suggestion to you would be to wait it out a day or two, then
contact your ins. company and see if any info has been sent to your
surgeons office. If they say yes, call them and ask if they've recieved
it. If they have...try to schedule. If not, give them a couple days to
weed through the paperwork and see what happens then. Good Luck! You've
made it through the hardest part! Keep us updated!~
— Kristin R.
June 20, 2002
Isabella: Congratulations on your approval. I had a similar incident
happen with my surgeon's office. When I sent all the required information
to the surgeon, his office staff called and said it wasn't enough. I was
slow in gathering the rest of the information requested, and low and behold
the surgeon's office called and said I was approved. I guess they
submitted it to Cigna HMO while I was gathering other things.
Congratulations again!!!
— Chris S.
June 20, 2002
<b>YES! I had already gone to my PCP, had him sign a letter of
medical necessity that I wrote for the insurance company, Scheduled and
went to my physh evaluation with an outline of questions and tests that
would satisfy both my insurance company and surgeon about having the
procedure done and had my pulmonary doctor schedule for the same day as I
scheduled to see my surgeon (one on one). I submitted all my information
(letter of medical necessity, psych evaluation report, a medical release
from my Rhemutologist, first and most resent blood work for my lupus,
ultrasound report stating that I had gallstones and all my referals to BCBS
and was approved (2 days later) the day before my schedule date to see my
surgeon. My surgeon's office was also VERY surprised and that I was
approved without them submitting one single paper :-) It is called
determination! Getting the job done instead of waiting for someone to do
it for you. Muwahhh good luck with your surgery! ~Diane~</b>
— Di B.
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