How did I not know he wasn't an approved provider?

LuvinlittleD
on 12/28/07 6:11 am
So this is the deal.  My surgery would be approved, but my surgeon isn't on the accepted providers list so the insurance company cancelled my approval request.  What kind of SH%T is that?  The only reason I even found out is because I had the dr's office call the insurance company to find out my status.  If they hadn't called we wouldn't have even known because the office wasn't notified.  So now the surgeon has to write a letter and there has been an appeal entered.  January 7th looks real iffy.  I guess it is just some more wait and see.  ARGGHHHH!!! If I have to choose another surgeon, will I have to pay out of pocket for all of the pre-op work I had done by the surgeon already????

I lost a small person...the one inside who was telling me 'I wasn't beautiful enough'.  See ya later!  You are surely not missed!

**Debbie** .
on 1/1/08 11:30 pm - GA
A friend of mine had to switch surgeons and all her pre-op testing was used by her new surgeon.  I'm sure as long as the tests are just a few months old or less you'll be find and not need to be retested. Good luck finding a new surgeon. Debbie
Larissa P.
on 1/1/08 11:40 pm - Denton, TX
I'm confused, the doctor is listed on your insurance but not approved to do the Lap Band? Or, did you just go to a doctor never checking if he was a member or your insurance?
Duodenal Switch hybrid due to complications.
 
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
LuvinlittleD
on 1/1/08 11:51 pm

I decided to go ahead and switch surgeons.  I didn't realize that my dr wasn't an in network provider.  I had never had to check for anyh drs before so I was thrown.  It works out okay because I found a surgeon in network.  I am seeing her next week.

I lost a small person...the one inside who was telling me 'I wasn't beautiful enough'.  See ya later!  You are surely not missed!

Larissa P.
on 1/2/08 11:55 am - Denton, TX
Glad it worked out so fast for you. :)
Duodenal Switch hybrid due to complications.
 
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
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