Waiting on WLS approval from OneNet/Principal........

elimatal
on 6/19/08 6:15 am - Greensboro, MD
Hey Everyone!   I stumbled on this web site as I was looking around the internet trying to find some answers.....I am currently awaiting approval from my insurance carrier (Principal/OneNet) for gastric bypass surgery--I was told that I should have an answer some time next week. I have met all of their requirements, and am just wondering if anyone else has this insurance, and if so how has your approval process been?? As everyone else in my position has been I'm sure, I'm a nervous wreck waiting for their answer, and would LOVE to hear anyone else's experiences with this  company either good or bad......thanks so much everyone, and I wish you all a safe, happy weight loss journey!!!! ~Jenna M.
Jen L.
on 6/19/08 10:15 am - Frederick, MD
Hi There Don't know anything about them, but welcome to the board!
(deactivated member)
on 6/19/08 9:02 pm - FL
Jenna I have ONENET and it went so fast for me my head was spinning.  Just keep on the surgeons office to make sure they keep things moving as well. Hugs Kristen
K9Krazzi
on 6/19/08 9:25 pm - Hebron, MD
Jenna:  Can't help you with your insurance question but I agree with Kristen.  Be PRO-ACTIVE every step of your journey!  Welcome to the boards!  There are many knowledgeable people here.  Don't eve think that a question is stupid...ask away!  Deb

             
  Certified OH Support Group Leader   

    
elimatal
on 6/20/08 3:58 am - Greensboro, MD
Thanks so much everyone! I'm still waiting on an answer from my insurance company--I was told they'd have an answer for me by Tuesday, however I was thinking about calling them today (Friday)--I don't want to bug them, but at the same time, I can't stand not knowing.....the waiting is KILLING me!! I'm hoping that approve me--while this may seem trivial to them--it's driving me insane!!! Thanks for letting me vent.......hopefully my next post will be to let everyone know that I've been approved!! As always, best of luck to all of you--you guys are such an inspiration to me!~Jenna
(deactivated member)
on 6/21/08 7:31 am - Millersville, MD
oh my, am i relating to this thread.  my surgeon's office submitted my paper work on june 11 and i have been anxious ever since.  we were on vacation this week and i checked every voice mail i have every day and no word.  i was told that it could take about twice weeks, but that aetna was usually pretty quick.  so, of course, now i'm concerned about that as well.  i'm such a worry wart. question for you guys/gals..  did you all deal directly with your insurance companies?  i have not called aetna once during this entire process.  they have paid the claims on all of my pre-op testing and my surgeon's office seems pretty confident that i should get approved.  i have just accepted their confidence, but now i'm wondering if i should have played a stronger role in this approval process.
elimatal
on 6/23/08 3:28 am - Greensboro, MD
I'm beginning to think that one can never be too pro-active! This past Friday my insurance company called me claiming that they had not received my psych eval, the cpt codes and fees, and documentation of my 2-year dietary follow up program. My surgeon's office claims that these documents were sent in along with the rest of my paperwork to my insurance company. I'm a little confused as to where these documents are, and how it is that they've been lost. The lady that works for OneNet (my insurance company) who is in charge of getting all required documentation together for the review board (I guess at the insurance co. level, she's in charge of my case) told me last week that everything was there, and now the review board says all of these things are missing! I went back to the lady in charge of of my case and now she has no clue why these documents are missing, and it seems that she didn't go thru my packet before she submitted it to the review board!!! I don't know what to do at this point--obviously I won't be getting an answer by Tuesday now. My husband went to the HR dept. at his company and spoke to them about what is going on (our insurance is actually funded by his employer, OneNet is simply the administrator....) and he's still waiting to hear something back from them. I feel like I'm just being jerked around at this point. I feel like I could cry--it seems like this approval means nothing to anyone but myself, and that the insurance company isn't taking this approval review seriously at all!!! Please--if anyone has any suggestions for me as to what I should be doing (or not doing) at this point, I would be so grateful!
(deactivated member)
on 6/23/08 12:35 pm - Millersville, MD
is your surgeon's office helping at all?  i haven't dealt with my insurance company once yet.  my doctor's office asked me not to do that, so i haven't called them once.  i did get a little annoyed today because i was told that my package was being submitted on june 11.  i called today to ask a question and learned that it was submitted just last week.  then, further into the discussion, i really got a feeling it hadn't been submitted yet at all.  but again, i was asked to not call and follow-up with the insurance company.  is this strange or normal???  i'm get getting antsy because my work is REALLY bugging me for a timeframe during which i am going to be off from work.  they don't understand why it takes so long to get a date. 
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