I need help understanding the approval that isnt an approval???
Hi I am really hoping someone out there can help me... I received my insurance approval yesterday approving me for gastric bypass with Long Roux Limb up to 150 cm. It states that I am approved based upon medical necessity... Ok 1st question.... is a Gastric bypass with a long roux limb bypassing 150 cm considered distal? and Secondly there is a stipulation that after surgery if they determine there to be pre-existing condition they might decline or reduce payment.... I called my Surgeon and kinda feel like I am not going to be able to have surgery until my 1st year contract renewal date is up (which isnt until 5/04) I know this is long and confusing but I am going nuts with this anymore I feel like I simply can't take anymore let downs. Anyone know if this approval means I can have surgery? I have never been treated for morbid obesity before however I did ask 2 of my doctors to write letters of necessity for me prior to getting this new insurance.
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