how long for ins approval?

[Guest guest]

Hello all. I am wondering how long I should wait

before bugging my surgeon's office about insurance. My

consult was a month ago. Do you think they've

submitted it yet? I asked my PCP and my ob/gyn to send

supportive letters and I'm sure they've done it. Is it

too soon to call and ask for an update?

I called Aetna and said my doctor said I had to have

surgery and did I need to give them any information

and she said what kind of surgery and I said bariatric

and she said no, the surgeon just writes a LOMN and

that's it. I didn't specify DS, I know they are

approving those on a case by case basis although I

don't know what makes a good *case*. Other than being

way heavy :-) Plus I've got all the usual

junk...apnea, knee arthritis, back pain, chest pain,

shortness of breath, yada yada yada.

Sooo...what do you all think I should do now? I am so

freaked out I've gained 5 pounds and my surgeon said

DON'T gain any weight or she wouldn't do the surgery.

I just feel totally out of control right now. I lost

13 lbs. before my consult but typically for me, now

it's all coming back. argh!!

Anyway, should I call on Monday?

becki

=====

Becki, near Portland, OR

BMI 50-ish, age 42

pre-op DS. hoping to get approval

through Aetna Traditional Choice

Consulted with Dr. on 3-13-01

psych ok, nutrition ok, now on to insurance!!!

beckeye_58@...

__________________________________________________

[Guest guest]

Becki,

Me again. Let me say that when I started my request

for surgery, I was involved. Still am. I call about

once every week or two to keep up to date. I do not

want anyone forgeting that, ( for lack of a better

term), they are working for me.

Let me give you an example. I am approved by Aetna.

Have been for over a month. My surgeryy is not till

next month. But I still talk to the surgery staff,

(Great People), hospital staff and Aetna. My big

concern is that even though I am approvd by Aetna,

neither the Doctor or the hospital are preferred

providers.

Their not being preffered providers is not a great big

deal as once we meet the out of pocket limit Aetna

pays at 100% of what is covered and customary. I am in

contact with those I mentioned above to hopefully make

sure what the charge is covered and customary.

To make a long reply shorter. Call on Monday. Be

polite. And keep yourself informed.

--- becki becki beckeye_58@...> wrote:

> Hello all. I am wondering how long I should wait

> before bugging my surgeon's office about insurance.

> My

> consult was a month ago. Do you think they've

> submitted it yet? I asked my PCP and my ob/gyn to

> send

> supportive letters and I'm sure they've done it. Is

> it

> too soon to call and ask for an update?

> I called Aetna and said my doctor said I had to have

> surgery and did I need to give them any information

> and she said what kind of surgery and I said

> bariatric

> and she said no, the surgeon just writes a LOMN and

> that's it. I didn't specify DS, I know they are

> approving those on a case by case basis although I

> don't know what makes a good *case*. Other than

> being

> way heavy :-) Plus I've got all the usual

> junk...apnea, knee arthritis, back pain, chest pain,

> shortness of breath, yada yada yada.

>

> Sooo...what do you all think I should do now? I am

> so

> freaked out I've gained 5 pounds and my surgeon said

> DON'T gain any weight or she wouldn't do the

> surgery.

> I just feel totally out of control right now. I lost

> 13 lbs. before my consult but typically for me, now

> it's all coming back. argh!!

>

> Anyway, should I call on Monday?

>

> becki

>

> =====

> Becki, near Portland, OR

> BMI 50-ish, age 42

> pre-op DS. hoping to get approval

> through Aetna Traditional Choice

> Consulted with Dr. on 3-13-01

> psych ok, nutrition ok, now on to insurance!!!

> beckeye_58@...

>

> __________________________________________________

>

[Guest guest]

Becki,

Me again. Let me say that when I started my request

for surgery, I was involved. Still am. I call about

once every week or two to keep up to date. I do not

want anyone forgeting that, ( for lack of a better

term), they are working for me.

Let me give you an example. I am approved by Aetna.

Have been for over a month. My surgeryy is not till

next month. But I still talk to the surgery staff,

(Great People), hospital staff and Aetna. My big

concern is that even though I am approvd by Aetna,

neither the Doctor or the hospital are preferred

providers.

Their not being preffered providers is not a great big

deal as once we meet the out of pocket limit Aetna

pays at 100% of what is covered and customary. I am in

contact with those I mentioned above to hopefully make

sure what the charge is covered and customary.

To make a long reply shorter. Call on Monday. Be

polite. And keep yourself informed.

--- becki becki beckeye_58@...> wrote:

> Hello all. I am wondering how long I should wait

> before bugging my surgeon's office about insurance.

> My

> consult was a month ago. Do you think they've

> submitted it yet? I asked my PCP and my ob/gyn to

> send

> supportive letters and I'm sure they've done it. Is

> it

> too soon to call and ask for an update?

> I called Aetna and said my doctor said I had to have

> surgery and did I need to give them any information

> and she said what kind of surgery and I said

> bariatric

> and she said no, the surgeon just writes a LOMN and

> that's it. I didn't specify DS, I know they are

> approving those on a case by case basis although I

> don't know what makes a good *case*. Other than

> being

> way heavy :-) Plus I've got all the usual

> junk...apnea, knee arthritis, back pain, chest pain,

> shortness of breath, yada yada yada.

>

> Sooo...what do you all think I should do now? I am

> so

> freaked out I've gained 5 pounds and my surgeon said

> DON'T gain any weight or she wouldn't do the

> surgery.

> I just feel totally out of control right now. I lost

> 13 lbs. before my consult but typically for me, now

> it's all coming back. argh!!

>

> Anyway, should I call on Monday?

>

> becki

>

> =====

> Becki, near Portland, OR

> BMI 50-ish, age 42

> pre-op DS. hoping to get approval

> through Aetna Traditional Choice

> Consulted with Dr. on 3-13-01

> psych ok, nutrition ok, now on to insurance!!!

> beckeye_58@...

>

> __________________________________________________

>