wondering if anyone Knows

moomalee
on 12/22/08 12:37 am
Was wondering if anyone knows how long it Takes for the empireinsurance to notify you if and when you can have your surgery.  my paper work was all sent in on the 20th of Nov.   I a going a little stir crazy waiting to hear. 
ZzpitagirlzZ
on 12/22/08 6:56 am - Bx, NY
hi there,
I have empire bc/bs, and my surgery was approved the same day as the surgeon's office submitted it.  You've been waiting over a month ... I'd first call the surgeon's office and ask them if they heard anything from empire, maybe they were notified that they need to submit some additional info or something.  after that, I'd call my insurance company directly and ask why its taking so long and what are their guidelines as to the timeframe they have to either approve or deny a surgical pre-certification request.
good luck to you!
moomalee
on 12/22/08 7:12 am
Hi,

Thanks I did call my Drs office today and found out that they had not submitted my info until the 20th of Nov.  instead of the the week of the 3rd of Nov that they had told me.  I since have also talked to some one else that says that they take 4 to 6 weeks to get it thru.  Was kind of hoping on an approval from the insurance as a xmas present to myself this year.  Going to wait to call insurance company now until after the holidays proably working with a skelton crew now.

Thank you
jamiecatlady5
on 12/24/08 4:34 am - UPSTATE, NY
There seems to be a lot of variability in this, not only between insurance companies, but between different polciies as well as individual cases. Many factors at play, such as your criteria on YOUR policy, what Your bariatric surgeons office submits, if it all gets there etc. Some folks as have already stated get approval in a day, others weeks. Some need to be strong consumers of their own healthcare and make FREQUENT calls back and forth between surgeons office and insurance company to facilitate the process. Other folks get denials and have to fight them. One recommendation would be to keep a written log of all calls with dates/times and who you spoke with! Do you have a copy of YOUR policy and the requirements, have you met them? You are entitled to this just have to ask for copy or exclusions etc.

It surely can be a challenging time waiting! Be well and keep us posted. Yu can wait a few days or you can call today never know what the answer may be! Only thing it costs is a few minutes of your time on the phone!!!
Take Care,
Jamie Ellis RN MS NPP

100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current)  5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005  Dr. King
www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
moomalee
on 12/30/08 12:37 am
Well I finally took your advice Jamie and called the insurance company today.  They told me I was okayed on the Dec 2nd so now I am just waiting fr all the paper work to get back to the Suregeons office I guess.  God I have had butterflys in my tummie since I heard that this morning.  It really is going to happen I was beginning to think it wasn't.  Thank you for your advice.  I am sorry I took so long taking it.  Jean 
jamiecatlady5
on 12/30/08 4:29 am - UPSTATE, NY
GREAT NEWS!
Be well and I bet you wil never wait to call again!!!!!!!!!!!!!
(giggles)
HUGE HUGS
Take Care,
Jamie Ellis RN MS NPP

100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current)  5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005  Dr. King
www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
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