RNY for 7/27 cancelled, paperwork not complete at Aetna
which I'm not surprised about, but I'm really irritated because if the paperwork had been submitted when it should have been (7/2) as opposed to when it finally was (7/20, after I called twice) I'd at least have an answer, and would possibly be having the surgery Monday.
This is the worst part: I've had to 'hand-hold' my hospital AND my insurance to get anything done. When I finally got the 'no go' from my surgeon's office, the girl I talked to said "Oh, Aetna says they need you to have been on a 3-month PHYSICIAN-supervised diet, not a 3-month NUTRIOTIONIST-supervised diet." I said "I've seen Dr. S. FOUR times in the last three months. SHE'S supervising it!"
I mean, shouldn't they know this??? I followed Aetna's requirements to the letter. Why is my hospital's insurance person ignorant to the fact that I DID see the physician 4 times? Why is this not clear in the paperwork the hospital sent to the insurance co.?
I'm quickly losing faith that this will happen at all w/out an appeal. I'm just depressed and a little angry at this point. Everything I did should be crystal clear to my insurance co. and the fact that they can't see that the FIRST thing they should be able to see--4 physicians appts--makes me wonder what else is missing.
Sorry, I'm just extremely disappointed that my surgery was postponed and that I've had to do the legwork between the insurance co and my surgeon's office. Nothing was done until I called, and then papers would miraculously appear at the insurance co. It's so aggravating and stressful.
This is the worst part: I've had to 'hand-hold' my hospital AND my insurance to get anything done. When I finally got the 'no go' from my surgeon's office, the girl I talked to said "Oh, Aetna says they need you to have been on a 3-month PHYSICIAN-supervised diet, not a 3-month NUTRIOTIONIST-supervised diet." I said "I've seen Dr. S. FOUR times in the last three months. SHE'S supervising it!"
I mean, shouldn't they know this??? I followed Aetna's requirements to the letter. Why is my hospital's insurance person ignorant to the fact that I DID see the physician 4 times? Why is this not clear in the paperwork the hospital sent to the insurance co.?
I'm quickly losing faith that this will happen at all w/out an appeal. I'm just depressed and a little angry at this point. Everything I did should be crystal clear to my insurance co. and the fact that they can't see that the FIRST thing they should be able to see--4 physicians appts--makes me wonder what else is missing.
Sorry, I'm just extremely disappointed that my surgery was postponed and that I've had to do the legwork between the insurance co and my surgeon's office. Nothing was done until I called, and then papers would miraculously appear at the insurance co. It's so aggravating and stressful.
(deactivated member)
on 7/27/09 3:19 am
on 7/27/09 3:19 am
My surgery for 8/3 was just cancelled. They (gateway health insurance) want me to do another 6 months diet with my doctor...then more testing...it'll be another year! I just filed a complaint with the insurance commission today.
Fine. IF they don't pay for my surgery, I will become the most expensive person on ther rolls. Look out specialists, here I come. Can you say cha-ching?
Fine. IF they don't pay for my surgery, I will become the most expensive person on ther rolls. Look out specialists, here I come. Can you say cha-ching?
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