Revision Approved!! I think?

May 02, 2012

Hi Everyone,

I hope everyone is having a great week!

I received an automated call from my insurance today and it said I had an inpatient treatment scheduled and wanted to give me additional information. This was left on my voicemail which I thought was strange so I immediately called the insurance to find out what it was about. The customer service representative checked the the Pre-Certification manager and she advised that both procedures had been approved. The lap band removal and the vertical sleeve gastrectomy were both approved as of today 5/2 so my timing was perfect!
 I then called my surgeons office and they told me yesterday they received a fax saying the lap band removal was approved but the sleeve was denied. At that point I was freaking out because I was so excited when they told me I was approved. The reason for the denial on the Sleeve was due to my BMI only being 39.5 at the appointment the surgeon and I discussed the revision but at the time of insurance submission it was 41.5 so they were waiting to hear back from the insurance company. So I decided to called the insurance Pre-Certification line directly rather than the customer service just to make sure and they stated both procedures were approved and there isn't any denial in their system. As of right now, my surgeon's office won't schedule until they receive the official approval letter, which is supposed to be sent out today. I'm praying the insurance didn't provide wrong information but I spoke with 2 different people so I'm feeling pretty confident they are correct. I will keep everyone posted on what happens! Take Care guys!

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