update on my insurance struggles

BeatrizS1974
on 6/26/12 9:53 am


So as of friday my insurance did not cover my surgery.  I was miserable all weekend.  I even went as far as stuffing my face friday. 

Yesterday I get an email from my navigator over at the surgeon's office telling me to call the office before coming in for my appointment today.  So i was pissed.  Pissed because my appointment was going to be the consent signing.  So Since i was so pissed i called the insurance company again and FINALLY spoke to someone that knew WTF they were talking about.  

She told me that i have not been denied or approved.  My case has passed the initial screening and has been passed over to the Tech department.  She explained to me that this is where the Nurse or if needed Dr will go over my case and decide if it is a medical necessity.

I have 2 comorbilities.  I have asthma and Hypertension.  I am praying that they realize that it IS a necessity. 

I will hopefully have an answer by friday.  If i am approved i will have surgery monday morning.
NJ_IST34
on 6/26/12 10:04 am - NJ
 Wow- that's stressful. I'm also in process of hearing from my insurance . I hope you get your approval soon and so do I. Good luck!!!!
I WANT MY LIFE BACK

NJ
natalie37
on 6/26/12 10:12 am - Advance, NC
Revision on 03/28/12
IF you are denied ask your surgeon to do a peer to peer review with the medical director of your insurance company- he may be able to do this before an actual denial?? It's amazing what can happen when docs talk to each other instead of reading paperwork!! Good Luck!!
Natalie
mame31
on 6/26/12 10:25 am - RI
VSG on 05/29/12
 Hang in there...sending you positive thoughts your way.  You will be approved.  Let us know as soon as you hear.  Fingers nd toes crossed for you!


Mame31
    31                
gabriellaz
on 6/26/12 1:00 pm - CA
VSG on 07/02/12
I will be praying for you
    
BeatrizS1974
on 6/27/12 12:04 am
Thanks everyone! 

I spoke to the surgeon about it yesterday and he said that they would do everything in their power to get it approved. 

I am hopeful and appreciate all your good vibes and prayers.
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