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Insurance Discuss insurance topics for the gastric bypass and Lap Band® operations.

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Old 11-03-2009, 10:50 AM   #1 (permalink)
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Red face I should have an answer by this afternoon

OK so I have been waiting 2 weeks now for my surgeon referral from my PCP which had to be authorized by my medical group. It usually takes 5 days but they had to re submit the request with a different surgeon. Well I called this morning and she said it is still pending and I should call back about 3 and they will have the answer. OMG I am so nervous. I want this so bad and everyday it seems more and more real. Once I get the referral my surgeons office does all my pshyc, nutrition, and blood work in one appt and I should have surgery in about a month or sooner depending on their schedule. How can I possibly work today when I keep staring at the clock..lol Thanks for listening..
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10/16 Started 6 month diet
10/30 Denied Consult with surgeon
11/20 2nd weigh in with PCP
12/1 New Medical Group takes effect resubmitting ppwk for surgeon consultation with Dr Callary
12/8 Psych appt with Dr.Doroski
1/8 Gyno Appt
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Old 11-03-2009, 10:53 AM   #2 (permalink)
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Good luck!!!!!! I'm hoping you'll call and get the big fat 'YOU'RE APPROVED'! Let us know what happens!
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Old 11-03-2009, 10:59 AM   #3 (permalink)
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Quote:
Originally Posted by Chrissie23 View Post
Good luck!!!!!! I'm hoping you'll call and get the big fat 'YOU'RE APPROVED'! Let us know what happens!
Thanks I will definitely post what I find out on here..
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"Instead of giving myself reasons why I can't, I give myself reasons why I can"
10/16 Started 6 month diet
10/30 Denied Consult with surgeon
11/20 2nd weigh in with PCP
12/1 New Medical Group takes effect resubmitting ppwk for surgeon consultation with Dr Callary
12/8 Psych appt with Dr.Doroski
1/8 Gyno Appt
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Old 11-03-2009, 11:33 AM   #4 (permalink)
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It's always tough when you're watching the clock! But at least they were nice enough to say they'd be able to get you an answer today!

Here's hoping you are approved!!
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Old 11-03-2009, 08:56 PM   #5 (permalink)
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So I called at 245 because 3 seemed too long to wait..lol She was so nice and I really like the girl with my medical group that is helping me and basically what she said is that it is still pending. Then she put me on hold for like 10 mins which seemed like a hour and said I should have my PCP call and they can give them more info and she couldn't go into to much detail since I am just the patient. So I called my PCP and had to leave a message and then I also made a dr appt for Thursday in case I don't hear from her tomorrow and I am going to have her call while I am there...lol Oh and then the girl with my medical group said I can always call tomorrow and see if the status has changed. I just keep telling myself pending is not as bad as flat out denied. I will be making my phone calls again at 8am sharp tomorrow. The waiting is the worst part but I am in for the long haul so a few more days I can handle.
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"Instead of giving myself reasons why I can't, I give myself reasons why I can"
10/16 Started 6 month diet
10/30 Denied Consult with surgeon
11/20 2nd weigh in with PCP
12/1 New Medical Group takes effect resubmitting ppwk for surgeon consultation with Dr Callary
12/8 Psych appt with Dr.Doroski
1/8 Gyno Appt
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Old 11-03-2009, 09:09 PM   #6 (permalink)
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Hang in there! I know the waiting is tough.
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Old 11-03-2009, 09:28 PM   #7 (permalink)
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Waiting is the WORST! But being persistant is important. Call each and every day to check in.

You'll get there!
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Old 11-03-2009, 10:21 PM   #8 (permalink)
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Good luck and you will get that approval! I have faith!
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Old 11-04-2009, 10:47 AM   #9 (permalink)
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I'm right there with you - I have completed my blood work, EKG, and psych and nut evals and I am waiting (impatiently) for the surgeon's office to call to set up my second consult. I email the patient coordinator every day. Bless her heart, she is really nice and never seems to get annoyed with my pestering.

You're right, though - you're in this for the long haul, so a few days/weeks of waiting is not so bad!

good luck!
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Old 11-04-2009, 12:31 PM   #10 (permalink)
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Hang in there guys. Waiting SUX but it will make us appriciate it when we finally get there!
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