Thinking of canceling consult appointment with Dr. Hess

[Guest guest]

Are you trying to get approval without a letter from the surgeon? Are you

just trying to get the consult covered at this point? I thought the

determination for medical necessity is sent usually after the consult. How

far are you traveling? Maybe you can call his office and have them switch

with someone who is a month later than you? That way you won't have to start

the wait entirely over in order to get a consult if the insurance comes

through.

Dawn

Dr. Hess

4.27.00

[Guest guest]

had made an appointment with Dr. Hess for December 11th thinking

Teri -- Why can't you call and ask the insurance company for their answer? Better to have an answer now and be working on a new angle .. then to let them hang you out to dry. There should be a time frame noted in your insurance booklet that tells you how much time they have to made these kinds of decisions. I would act on that timeframe. Also .. can't Walter call? You have a right to a response. Good Luck...

Judi in MS

Awaiting Ins Approval

Dr. Booth

BMI 59

[Guest guest]

I had made an appointment with Dr. Hess for December 11th thinking

that there would be a decision made on my appeal for surgery.

I, or should I say Walter appealed in September and it has been over

2 months since that appeal went in. I really hate these insurance

companies. It has been over 60 days and I haven't heard from them

yet. What does it take to figure out that some one who has a BMI 50

and has been overweight all her life is not going to lose weight

without surgery. I suppose I should be hopeful that this time they

are thinking about it and I have not been denied right away like the

last two times, but hey they should have come up with a decision by

now.

If I were to be approved then the money I would spent to travel to

see Dr. Hess would be worth it. If I were denied then I would cancel

because this is the final decision through evil insurance, to them it

would be case closed. I would have to file a lawsuit and that takes

time and money but of course I would give them as much trouble as I

could.

I need to either make travel arrangements or cancel and re-schedule.

I don't know what to do.