OMG, approved after appeals! Need to transfer approval to a new doc.
Oh my gosh, I can't believe it. It's been over eight months since my doctor first submitted to insurance. My first denial (BCBS Federal Employee) was last October -- got turned down because BCBS said the sleeve was just for people with BMI over 50. I appealed and lost, but this time it was because my co-morbidities weren't serious enough. I got a sleep test and the results showed mild apnea.
I did two things. I filed an appeal with OPM (office of personnel management). They've had the appeal for almost two months and are still chewing on it. I also asked my doctor to submit to insurance the new apnea results and see if they'd approve it. The second strategy prevailed!
However, in the mean time, I've scheduled my procedure with another doc. Better self-pay rates (which I thought was my future) and more competent office staff.
Has anyone had any trouble transferring their approval to a new doc? Both are preferred providers. I feel a little conflicted because the first doctor's office finally pulled it out for me, but they were so unsupportive through my appeals I just don't feel bad enough not to go ahead with my scheduled procedure.
I did two things. I filed an appeal with OPM (office of personnel management). They've had the appeal for almost two months and are still chewing on it. I also asked my doctor to submit to insurance the new apnea results and see if they'd approve it. The second strategy prevailed!
However, in the mean time, I've scheduled my procedure with another doc. Better self-pay rates (which I thought was my future) and more competent office staff.
Has anyone had any trouble transferring their approval to a new doc? Both are preferred providers. I feel a little conflicted because the first doctor's office finally pulled it out for me, but they were so unsupportive through my appeals I just don't feel bad enough not to go ahead with my scheduled procedure.