HELP!!!!!

I just got a call from the Dr's office saying they need to postpone my surgery date because of insurance reasons. When I called the insurance company they said my case was pending they needed more info. When I spoke to the Dr's office they said that I needed to see the dietitian for 6 or more months. So I set up an appointment with the dietitian she said she has never heard of Connecticare needing a 6 month requirement. When I called the insurance company back they stated I do not need a 6 months of seeing a dietitian. I soooooo confused I'm not sure where to go from here. I don't want to postpone my surgery but I'm not sure I have a choice. Any way thanks for letting me vent. Sorry if any one doesn't understand this post. I was looking for any suggestions? Thanks for your support. JEN

Jen, Calm down and get all the info. Call back your insurance and have them spell out what is needed. I have "Connecticare" and I didn't have that requirement. This may be a rider your employer has put in, or something has changed. When talking to insurance get peoples names and titles. Once you have all the info, then plot the course, Just keep myour eye on the goal. You will get there. Take Care, Julio

Hi Jen, I agree with Julio, call Connecticare's authorization department and check this again. I had my surgery on 10/31/05 and I have Connecticare and never had to see a dietitian. Debbie

Jen, I know it sounds crazy, but if you get along well with your HR person or better yet, your boss....have them call your insurance company on your behalf. You may have to sign some HIPPA paper, but I don't think so. I know this works VERY well as my boss called Anthem after they yanked me around and in ten minutes did the IMPOSSIBLE...she got them to say YES........(as I found out later, because you employer pays the bill and NEEDS to know if an employee will be out 3-6 weeks....THEY NEED TO KNOW) I had surgery Jan31st(the last day of coverage with the old insurance that DID NOT have a waiver in place)....So, I can not say enough GREAT things about my boss.......I don't know where you work and how well you get along with Senior management but if possible, throw your self on their mercy....not only is it helpful with insurance but it also helps with them understanding WHY you NEED this surgery.....My WHOLE office are my cheerleaders!!!!!....Good Luck, hopefully we will see a new post with your date listed!!!!!___________Drea

Oh Jen - I am so sorry that this obstacle has been thrown in your way - especially completely out of the blue like this - I've never heard of Connecticare requiring the 6 month diet - I have Cigna which does require it and it's very specific, it has to be by your primary care doctor and well documented. Did something change in the policy for 2006 at Connecticare? You need to get your hands on a copy of the policy and read it for yourself.......... you might have to call Connecticare and start the appeal process - you can get through this - just keep you eye on the goal. I am bracing myself for this news as well and if it happens I will stay the course. I'm just so sorry that the insurance company threw this monkey wrench out there - Connnecticare has an excellent reputation, I'm sure you can work it out! BE strong! Best Regards, Tammy

I have Connecticare also. I will be having my physical with the surgeon this thursday and then sit with the office manager to go over the insurance. I believe what Connecticare wants is 6 months of monthly weigh in's done from your PCP, along with the doctors notes stating that diet was discussed at each visit. Good luck and keep the faith.

that really stinks jen...but keep the faith and dont worry,it will all work out for you in the long run,,hang in there and dont give up,,ok,,cyndee

Hang in there Jen. Don't let them get you down, you've come this far not to be able to wait a little longer. The time will fly by. Best wishes, Joe

Hey Jen, Just wanted to tell you to stay encouraged, I had the same thing happen to me with Healthnet, They said after everything I need 6 months of Dieting. So I got the notes from my Doc for the past six months.

Hi Dear jen I know exactly how you are feeling because it happened to me too!!! I had a tentative date for March 6 and the Insurance say I need it more time with the nutricionist. I have Preferred One and extencion of First Choice of CT. Well I had 3 app. w/ my nutritionist and the one on March will be the fourth. So I am looking for a surgery date at the end of may or beginings of June if everything goes well. Be encourage and keep moving doing all that is in your hands! regards! Nory2006