Just wanted to let everyone no

Well I havent posted much on here I have been fighting with the insuraunce on getting approved for Lap Band surgery I submitted all my paperwork and then I got the big denial letter in the mail.
They stated that my Doc didnt include enough info in my clinin notes for my supervised diet. So here we go again I recently completed my 6 month diet and lost 30lbs I am excited over that but I wish they would approve me so I can join all of you guys on here.

I was just wondering how long do you think it will take on round 2 to get an answer from them. My nurse faxed them a total of 38 pages of stuff to look at I have been big all my life and just want to try to get healty and to live a better life I cant wait to be called a bandster. Also I want to thank everyone that takes time to give input on this board it has been a big help for me.

Hey Jack,

What a bummer!  Gee, all insurance companies are different, some get back to you qickly, others make you wait forever.  What insurance do you have?  Let us know and maybe someone will have the same Co and will be able to answer you. 

Otherwise, the best thing we've found is to keep calling the ins co....squeeky wheel, you know!

Good luck

Im sorry I forgot to add that in there I have Cigna insuraunce thanks for the reply.

I don't have that insurance company, but I tend to believe most insurance companies are lying cheats that are JUST a 1/2 step above lawyers on the food chain.  (I omit my own insurance company from that statement because they have been wonderful to me.  But in general, that's true.)

Good luck.  Sorry I have no words of wisdom to help you. 

I hope you are also omiting my son and his wife, the lawyers, from that statement!!

jk!! they are two of the most ethical people I know, but their still young, they may learn!

There are exceptions to every rule!  lol

Wendy,

You will love this one, my recent foot surgery on 7-25 had to be coded just right for BCBS to pay, well they won't pay for the xrays that showed I needed the foot surgery or the xray the day of surgery at the hospital because they say that is normal routine care, but it was the xray required to make sure my pins were properly put in place in surgery. Now they have paid the surgery $5,000 and denied $94.00 worth of xrays, lol.  GO FIGURE!!!!!!!!!!!  Needless to say I am fighting it, what a bunch of dumbazzes!

AB

My insurance approved all my pre-op blood work and testing (and all the RNY of course) except one of the blood tests (I forget which one.)  Everything else (including the required HIV & HCV testing) they approved without question.  But ONE of the pre-op labs they denied. 

Sometimes I think they use the dart board method of denying charges. 

I tend to think as the others do. I don't intend to get your hopes up, but I often think they pull their stunts to see who's in it "for real". Many people would have said "F THIS" on the thought of another 6 months of supervised diet, but that's not what makes for good results after surgery. I think when they figure out you are not going away they'll step in line. Definitely make a little more noise this time around and know exactly what it was that resulted in the "not enough information" category so it doesn't happen again. Also, make sure their excuses are documented so once that is cleared (in 6 months) they can't change their 6 month diet rules on you. Good luck friend!