Another date- and high hopes!

OK, THIS time I'm going to let myself get excited. The paperwork is flowing from the insurance company to the surgeon's office as we speak. I made the right lucky phone call, and found out that my secondary insurance (HMO Illinois) WILL pay for the whole thing, even if my primary (Principal PHCS) denies (which they did). The HMO has already approved... and so... April 11th. Whaddya know. I started this process in July. If I knew then what I know now... Five weeks from today. Keep your fingers crossed for me that nothing falls through this time!! So I guess I'll go to my support group tonight!

CONGRATS!!!! I am very happy for you. Nancy by the way, why did PHCS deny you?

Thank you Nancy- I got a list from my benefits administrator, in the beginning, of all the things PHCS wanted, and got all of them done, and sent in through my surgeon's office. Then they denied the first time because somehow something I had sent them didn't get through. My surgeon's office re-sent that. Then I got another denial letter stating that I hadn't met the requirement of weekly visits to a dietician for six months. They had never mentioned that before!! I did send another appeal letter with a bunch of articles about how WLS can cure diabetes, and about how the medications I'm on prevent weight loss. they would have received that today. But, out of curiosity, I called my secondary insurance (HMO) and discovered they had already approved, and would pay the whole bill even if PHCS continues to deny. They sent the approval to the surgeon's scheduler, she sent them back the date, and we're ROLLIN'!!

I am very happy for you!! I asked because I have Principal PHCS and I am half way through my six months of dietician and I was hoping that you did not complete that and then have them deny you again!! CONGRATS!!! Nancy