Question:
Help with Insurance

Has anyone ever been approved and had the surgery and then told that you are approved? Well, this is what happen to me. I don't know how things got so messed up, but this could cost me a fortune. It could finacially destroy me. I am a single person and have to take care of myself.. My insurance company said that the approval number is the wrong one. The girl doing the insurance just took the number form me and then set up surgery. My insurance paid for things that they wanted to. I have no idea how much this could cost. I had an open rny in Janurary. I not sure being slim and healthy will matter if I am ruined money wise. Anything I could do or any ideas you might have I would like to hear form you. Thanks Dawn    — Dawn T. (posted on February 28, 2000)

February 28, 2000
Don't give up! I work for a Health Insurance Company. If you are persistant and call and check on things, even on a daily basis, they will be straightened out. Check on the status of all your claims, make sure that they have everything they need to know that the surgery was medically necessary. Make sure you know what options you do have if you are finally denied, like medical director review or appeal processes. I know you will succeed!
   — Lisa N.

February 28, 2000
Did your insurance company approve it in writting? If they did... they can't "un-approve" your surgery. Keep a log and document any conversations you have had or will have with your insurance co. Talk to supervisors or managers. If it doesn't work file a complaint with the Insurance commisioner for your state. Please contact me via email if I can be of any help. Good LUCK!
   — Lady C.