Question:
how long between referral and surgery date?
i was wondering how long it takes from the time your pcp submits the referral to the insurance company till your actual surgery date? — lovli27 (posted on April 16, 2006)
April 16, 2006
It all depends on how long the insurance company takes to approve your
surgery, and how long of a waiting list your surgeon has. My insurance
company approved my surgery in a week and a half, but I called them several
times, that may have sped them up, then it my surgeon had a 3 week waiting
list. So I'd say from the time it was submitted until the time of my
surgery date it was about 5-6 weeks.
— bhappy1415
April 16, 2006
It all depends on how long the insurance company takes to approve your
surgery, and how long of a waiting list your surgeon has. My insurance
company approved my surgery in a week and a half, but I called them several
times, that may have sped them up, then it my surgeon had a 3 week waiting
list. So I'd say from the time it was submitted until the time of my
surgery date it was about 5-6 weeks.
— bhappy1415
April 16, 2006
Hi Tina,
Beth is right; it depends on your insurance company. But I believe asked
about a time frame from PCP - Surgery versus when your surgeon submits for
authorization. I got my initial referral Nov 2, Went to my surgeons
required nutrition seminar Nov 15, Had my psych eval Nov 17, went to my
surgeons required surgery seminar Dec 6, I had my one on one consult with
my surgeon, Dec 20, at which point he felt I was a good candidate for
surgery and he scheduled me for Jan 18 surgery date. He then submitted all
required documentation to my insurance company for surgery authorization
and received approval in 2 days. So from Referral Date to surgery Date was
2 1/2 months. I hope this helps.
— Tiff's On a Mission
April 17, 2006
I would say under one year. alot of insurance companys want supervised
diets also
— barbie12
April 17, 2006
Going into getting the RNY as I wanted I knew the my Insurance Company
(Humana Gold Plus/Medicare) would require the 6 Month Doctor Supervised
Diet. So After I had the initial Consultation with my Surgeon (Dr.Rehnke)
and he put me on a Super Atkins Diet with No Carbs at all (well very little
some got in weekly) During these past 6 Months it gave me time to get other
Tests, Doctor Visits and after care all set up. Within the one week after
completing the Diet I saw my PCP on a Monday. Thursday of that week they
Submitted the Letters & anything else that felt nessecary. Friday
afternoon I was Approved. Monday morning following my surgeon's office
called with a date for the surgery (May 10th, 2006 - about 30 days) this is
giving me time to do the Optifast Liquid diet which besides shrinking my
Liver (which they'll have to move over to get to my stomach) I'll lose
another 30 - 50 pounds. Making it even safer to have my Surgery. That takes
two weeks. One week before the actual Surgery I'll see my PCP for last
minute tests such as Blood Works, EKG, Chest Xray to receive "Medical
Clearence". Two days before the Surgery Date I'll see my Surgeon for
any last minute Questions. And then it'll Happen. I'm waiting pateintly.
Mike
— Michael Eak
April 18, 2006
I was lucky, I have UnitedHealthcare and it was 3 weeks until my surgery
date from my initial visit and when they submitted everything to in
insurance. I understand other insurance companies are different.
— tonifrisina
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