UBER PISSED
April 5th was my lst of the 6 month medically supervised weight loss program and my package was complete. I had all the letter and recommendation since March. I was told by the coordinator that my package would be sent by the 8th. i have been calling Cigna for the last week and they kept telling me they don't have anything. Called the dr office today to only find out it was never sent. The person who submits the paperwork to the insurance is out of the office and will be out until Monday next week. WTH? I had been corresponding with her for the surgery date and she is always "running out of the office" or will call me back.
Now what are my options other than to wait and continue to try to lose weight on my own?
Now what are my options other than to wait and continue to try to lose weight on my own?
This happened to me, too, with the oops happening on my hospitals side...my claim never got submitted. Believe me I was fired up. Ask your clinic to ask the insurance company to fast track your claim and see if that helps. I got my approval in a week and a half!
Hope this helps!
Heidi
Hope this helps!
Heidi
Age 49 Height 5'5" HW/280 SW/250 CW/157
Behind every success is effort...Behind every effort is passion...Behind every passion is someone with the courage to try.
Behind every success is effort...Behind every effort is passion...Behind every passion is someone with the courage to try.
. I had a lot of bleeding for some reason, he had to fix a hiatal hernia that he found and I was out of it for a couple days. I'm starting to feel better everyday though thank you !! 
I hear ya -
Once I finished with the shrink and he faxed his thumbs up to my surgeon , they faxed to Anthem the next day...I called 2-3 times for the next week and my Dr's office had not heard back.
I called Anthem: Never heard of it, knew nothing (this is a week later).
Called surgeons office..."Hmm, lets fax it again..."
---more waiting---
Called the office and then Anthem again - s/a, never heard of it - no claim...
-started to get uber pissed myself-
-called to Surgeons office - the insurance lady is on vacation for a week...WTF!!!
-talked to another office person and the bariatric advocate...They faxed it for the THIRD time
-Called Anthem 3 days later....ditto, same F'n thing
---
So I called my SURGEON and said WTF!
-a day later Anthem had a case/claim # and it was assigned to a nurse "pending review"
-3 days later the girl from Ipanema was back from vacation...Called me with the news I was approved.
--2.5 weeks later Anthem sends me a letter saying I'm approved....Gee Thanks!
-------
Bottom line is to call call call! harass the ever loving **** out of them until you get some answers!
Its just business aqnd numbers to them - they don't realize what have emotionally invested in this decision and the simple "Approved or Denied"....
I just finished my last pre-op meeting with my surgeon, took a EKG and donated more of my blood (and a boatload of $$$)...But I am all green lights for next tuesday at 8:00am!
It took 3 faxes of my info and my surgeon personally chewing asses to get it rolling.
Don't leave it up to them - be a ***** if needed...i was an A-Hole about it...Hell, the Hospital and surgeon are making Uber Dollars on this.
Actually my surgeon and his team are really good - Anthem BC/CA are the ones *****ally screwed the pooch..
Good luck
J
VSG Surgery on April 26th, 2011
"Get busy living…or get busy dying. That's goddamn right." ~ Red, The Shawshank Redemption
"Get busy living…or get busy dying. That's goddamn right." ~ Red, The Shawshank Redemption
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