Mad as hell
Hey guys, It's been a while since i've made a post here but I had to vent somewhere before I lose my mind!! I have been trying to get gastric bypass surgery since 04' and now that I have anthem insurance through medicaid I have been trying to get approved since Dec. 06' they have really been giving me the run around and I'm really getting frustrated with them. It's just not fair when you and your doctor already know what is best for you and your health why is it up to them to decide the final say? They've had me redo doctors visits and denied me several times and just this last time they wanted me to redo my nutrition visit and I did and we submitted everything in again. I've been waiting three weeks and heard nothing so I called them today only for them to say that nothing was never sent in and it's up to the doctors office to send in everything. I know that the doc's office sent the new info last week. They have been very patient right along with me through all of this chaos that the insurance company has been causing and has decided to resubmitt everything all over again. I am hoping this is going to end with an approval because I am always in the hospital due to my asthma and it seems they would rather pay for the surgery rather than my hospital bills that will be piling up on them if i am not approved.
They would tell me 1 thing to have tested and I would, thinking ok this is it...then they would come up with something else. I did give up all hope and then out of the blue my surgeons office called and said they approved me outta the blue!! Withink 2 weeks I had the surgery! No time to prepare for it! lol
Just keep fighting them!!!
Good luck.
Pam 
I have just about had it... and this has been going on since January... I have done everything that they have wanted me to do
so now they have me on the edge of my seat waiting for them to call... Today they are making a peer to peer call between the Doctor and the insurance to over ride what they want I sure hope that the doctor makes it plain to them I really need this surgery fast... good luck to you.. I guess we just have to keep on plugging...
Jeannie
M
Hi Alesica, Your frustration is one that our program staff deal with every day. We are working exclusively with adolescents and have heard practically all of the responses imaginable. Have you thought about getting help from obesitylaw.com? Has anyone else had any success with professional advocates?
Hang in there!
Warmest regards,
Tom Inge, MD Cincinnati, OH
M
on 8/27/07 3:20 am - OH
I contacted Obesity Law and they handled the paperwork and walked me through my insurance's appeal process. I am ecstatic to report that I got my approval letter on Friday!!!
I had Cigna.
