I'm getting antsy! - ThinnerTimes

BabyNicole · 05-24-2008, 09:22 PM

I have Oxford Health Care, and they have excellent insurance regarding WLS. I've spoken to people on the phone and looked at their benefit explanations online. It says (and the people told me too) that if your BMI is 40+, you have a letter of medical necessity, and you stay in network there is no medical direction. According to Oxford I also didn't have to see a psychologist or do a 6 month diet. But, to go to my specific surgeon I have so many letters from different docs (PCP, NUT, Surgeon, Psych).

Now, the insurance lady that handles the papers for my surgeon said she doesn't foresee a problem with Oxford and that she'd call me with an approval number. She said she would not call me when she submits.

I know I'm getting antsy, but I'm dying wondering if she's sent in the info yet, as I haven't heard from her.

You all are probably wondering how long it's been, and I'm embarrassed to say a week.

But, the reason I'm worrying is the fact that Oxford has no medical direction. They should have approved in a matter of days. Plus my surgery date is exactly 30 days away.

Would I be a pain in the butt if I called the insurance lady or Oxford?

I'm being ridiculous, right?

doxielover · 05-25-2008, 01:15 AM

Hi! I called my insurance company twice in the week after it was submitted. My suregon's office submitted on a Friday morning and I called the insurance on the very next Monday and then again on Friday. On Friday they told me that the authorization for surgery had been approved on Wednesday! Don't be embarrassed or ashamed to call - you are their customer! Good Luck!