Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Hi everyone......my surgery is scheduled for 4-30.....My insurance hase been deciding for 5 weeks now.....now this morning I am told that it was sent to the medical review board. I am crushed....I have my heart set on next Monday...What happened was the procedure was put in under 2 codes.....they said there is no problem with the gastric bypass code but the second code is for some kind of reconstruction...that is what confused them and had to put it in for review. I guess this is better than being outright denied but it hurts just the same. I was also told that if it is denied that they won't even cover 80%...which is supposed to be my out of network benefits. So, after a whole day yesterday of crying, complaining and being lethargic, I have contacted Dr. Baltasar in Spain for a surgery date .....just in case I am denied completely and have to self pay. He gave me a date of June 4th.....it just scares me....the thought of going out of the country for surgery......it was hard enough to accept going out of state....LOL. Well, the girl working on my case said that there is a possibility that we can negotiate on my coverage if need be.......so wish me luck..... Sorry guys for venting to you, it's just that my hubby and mom can't understand my need for this to happen....NOW.....I have waiting 6 months for this and I was all ready for next week.....I guess I will have to unpack my bags... :-( Bobbi-jo hopeful and begging Quote Link to comment Share on other sites More sharing options...
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