Frustration is all I can say....

Wanda K.
on 9/26/11 1:16 am - Hope Mills, NC
RNY on 04/09/12
I am so frustrated right now...I just called my surgeon's nurse and was told that the insurance got the paperwork but questioned the "exercise" portion of it.  I am so frustrated.  It seems like every week they have a different excuse why they can't approve it.  I am concerned that they are trying to wait until I get under the 40 BMI to deny me.  I am doing what the insurance company asked and because of that have lost 30 lbs preop.  Why can't they stop making excuses not to approve me.  What am I to do. 

Wanda 
   
HW: 282, SW: 244.4, CW: 211, GW: 140   
      

waitingtoexhale69
on 9/26/11 1:26 am - IL
UNFORTUNATELY INSURANCE COMPANIES HAVE ALL THESE RULES AND GUDELINES THAT THEY MUST FOLLOW, HOWEVER THEY ARE NOT DOING IT IN A SYSTEMATIC WAY.  THEY SHOULD OBTAIN ALL INFORMATION THAT IS REQURED AND SUBMIT IT TO YOUR SURGEONS OFFICE.  THIS CAN BE VERY FRUSTRATING AND UN NERVING.  ALL ANYONE CAN SAY IS HANG IN THEIR AND REALIZE ONE DAY THIS HEAD ACHE WILL ALL BE OVER.  TAKE CARE OF YOURSELF DON'T GIVE UP, THAT'S WHAT THEY WANT YOU TO DO.
        
Kim H.
on 9/26/11 2:02 am - VA
RNY on 07/11/11 with
I actually think it's partly the doctor's offices who are to blame because so many people don't have a "program" to follow that meets all the insurance companies rules. I'm grateful that my doctor's office and the hospital where I had my surgery has exercise groups, nutritionists, psychologists, support groups, information sessions, etc. When I first looked into the surgery the first question they asked was what sort of insurance do you have and then gave me a printed list of everything I would need to do to get approval. Lucky for me, I did what they said and was approved after the 6 months of diet/exercise/nutritional services. I would put a little pressure on your doctor and the hospital where they work to do a better job of organizing these services. Anyway, I'm sorry you're frustrated. Keep us posted on how it works out.
        
I am my own hero...I save myself one day, one meal, one bite, one choice, one challenge, one step at a time...
Bralen
on 9/26/11 2:06 am
I would call my insurance company and start speaking with them directly. A question about the exercise portion, is a bit vague. I'd be asking for specifics.
Start weight 263     Surgery weight 247  
mrslatch
on 9/26/11 2:32 am - Fort Campbell, KY
I agree with this. Maybe if YOU put some pressure on them as well they will get a move on.
Morgan  My Blog
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