Feeling helpless and frusterated
I am still waiting on my insurance... its only been a week, but this is the third time that my paperwork has been submitted to insurance and again they came back NO! Now, on the the appeal process -- how long does that take? What are the chances of them coming back yes? I need this surgery! I want it and I've done everything they asked! COMEON!!! Help a girl out... sheesh!
Why did they say no before?
I have no idea how long the appeals process takes but if you call the insurance company and ask, they probably have a time limit, like 30 days or something, to give you an answer.
I have no idea how long the appeals process takes but if you call the insurance company and ask, they probably have a time limit, like 30 days or something, to give you an answer.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Sending good thoughts your way !!
I was denied several times and all it was , was that not all the tests had been done and sent in , I called and talked to my case worker and she assured me that I was approved up until this point they just didn't have all the paperwork , it took the psych papers almost 3 weeks to get in.
A friend on here was denied because she was a non compliant patient ...WHAT???? nuh huh then she was denied because a wrong code was put in and said she had cancer..WHAT??? nuh huh.
It could be something very simple , I know how frustrating it all can be , hang in there!!!
If they cover WLS and you meet the criteria then it is a paperwork/code issue
Good luck
A friend on here was denied because she was a non compliant patient ...WHAT???? nuh huh then she was denied because a wrong code was put in and said she had cancer..WHAT??? nuh huh.
It could be something very simple , I know how frustrating it all can be , hang in there!!!
If they cover WLS and you meet the criteria then it is a paperwork/code issue
Good luck
Donna Q. --5'8" -60 years old
Band 2005
hw320 sw276 lw with band 195 gw 160-180?
Bypass 4/4/2012
pre sw 258 lw RNY 162 cw 203
Have you had a consult with a surgeon yet? If so, they may likely be able to help you word documents. Or your referring PCP can likely write something on you behalf for the surgery. DAVE
Dave Chambers, 6'3" tall, 365 before RNY, 185 low, 200 currently. My profile page: product reviews, tips for your journey, hi protein snacks, hi potency delicious green tea, and personal web site.
Thanks friends! My surgeon's office sent in for an approval back in February. The insurance company denied it because I needed to do 6mos of weight management. Now, I have completed that - so, they sent in again. Unfortunatley, it was with in 6 months, so they should have done an appeal to begin with! UGH!
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