KateMalcolm
The Approval
Mar 21, 2009
When I first met with my surgeon, I was told that my insurance had a three month fast track. The nurse explained that I would need to see my primary care physician AND a licensed nutritionist for three consecutive months. Sounds easy enough. I completed these requirements in addition to the psychological evaluation by December 2008. The psychologist forwarded my information to the surgeon without even being requested to do so. The nutritionist forwarded my records after two requests. My primary care physician, was my biggest challenge. The first time I requested that my records be forwarded to my physician, nothing happened. Then some records were forwarded, but not the note for the October visit and the December visit. I submitted another request, nothing. After another request the October visit note is forwarded. By the end of February I basically told the nurse "Look, the doctor is the one who recommended this surgery. I have completed all of the requirements for my insurance and my psychological evaluation will expire if we don't get on this." On March 2nd I received a call from the bariatric coordinator at my surgeon's office. She advised that she had received all the necessary documentation and would be submitting it to my insurance company. She explained to me that it would take 2 to 6 weeks for the approval or denial and she would call me when she had more information. On the afternoon of March 12th, she called me back and informed me that she had received the approval from my insurance company and she wanted to schedule my surgery for March 31st. Who knew that it would be my own doctor who would be the biggest roadblock and the insurance company would cause no problems? I have even received a call lately from a nurse employed by my insurance to answer any questions I have regarding my surgery. She provided me with her number and told me that I could call her anytime. Yeah Aetna!
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About Me
Seminole, FL
Location
51.6
BMI
Surgery
03/31/2009
Surgery Date
Dec 28, 2007
Member Since
