Insurance and Approval?

whitneyxo
on 3/29/11 6:42 am - MI

RNY on 05/29/18

I am coming in close on the end of my 12 months diet to sumbit to the insurance company for approval. I have until the end of April. I am just curious as to how fast everyone has gotten approval from their insurance and also how long after getting approval was there surgery scheduled for. I have to take vacation at work but I need to have it in -in advance so Im trying to guestamate I guess. I can always change it if I need to I am sure. Thanks for your help!

-Whitney

journey2010
on 3/29/11 6:56 am - PA

Lap Band on 04/21/10

wow, a 12 month diet before becoming approved by your insurance co.? Have you had any tests done yet? There are approx. 6 wks worth of scheduling tests. Hope all goes well for you, you must be very determined!

whitneyxo
on 3/29/11 7:00 am - MI

RNY on 05/29/18

Yeah I have medicaid so I had to submit a 12 month doctor supervised diet. It's been a long road but learned some good habits out of the deal that will help even more after my surgery :]. My insurance does everything backwards I guess is what they said. The only thing I have had done is the Psych eval, and Ill be getting a thorough blood physical done to check like my blood cell count, cholesterol, and thyroid and what not but other than that I have not had any. I have been obese my whole life and I cant wait to turn it around. I dont want to be the fat girl anymore :]

journey2010
on 3/29/11 7:10 am - PA

Lap Band on 04/21/10

it sounds as though you are near the fininshing line. Once the dr's office submits your paper work to your insurance co, you might know within 2 wks (it was 13 days for me) and once the surgeon receives the approval letter you might be given a "check list" to schedule your remaining tests and the nurse may go over available surgery dates.My thought is why not call your surgeons office and ask them what your time line might be? It's an exciting time, good luck with everything!

Jean M.
on 3/29/11 9:23 am

Revision on 08/16/12

Whitney,

Bless your heart...this has already been a long journey for you.

It took my insurance company 2 weeks to deny me and another 2 weeks to approve my appeal. Then it took 3 weeks to get into the operating room due to my schedule, my husband's schedule, the surgeon's schedule, and having a temporary vena cava filter put in (blood clot filter).

I've heard of some people getting same or next-day approval. I hope it goes fast for you!

Jean

Jean McMillan c.2009-2013 - Always a bandster at heart
author of Bandwagon (TM), Strategies for Success with the Adjustable Gastric Band & Bandwagon Cookery. Bandwagon for Kindle now available on Amazon. Read my blog at: jean-onthebandwagon.blogspot.com

mommieof3kidz
on 3/29/11 9:34 am - Coos Bay, OR

Lap Band on 02/17/11

I didn't have to do any form of diet for my insurance.

I started the process in May 2010. By the first week of August 2010 my surgeon called to say insurance approved the Lap Band surgery. The surgeon had me scheduled for the 1st week in December due to his busy schedule although I was excited and wanted it done ASAP I had to tell them I needed/wanted to wait until January or February of 2011 (I was banded 2/17/11). I had ended up having a Hysterectomy July 28^th, 2010 and needed to heel from it and I of course wanted to give work a little bit of time to adjust before taking leave again even though the Lap Band was nothing like the Hysterectomy.

So overall it took roughly 2½ months for me to get through all the mandatory appointments and tests and for insurance to make a decision. I felt that was pretty good timing.

TANYA
Banded - 02/17/2011 * HW - 210 * BW - 207 * CW - 135 * GW - 130 (happy where I am)
NO Pre-Op Diet - ALL Weight Lost Has Been Since WLS!!!
NO Fills Given - Working With An EMPTY Band * Updated 02/19/2012
BA - 12/16/2011 - Large A to DD's :)

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Insurance and Approval?