RE: Worried about Pre-cert

[Guest guest]

Bob, I just wrote you a 5 min note and aol kick me off before I sent it!! My

date is 8/24 at davis join me if you'd like-I could use a littermate.

Kathie265

[Guest guest]

The poor woman is buried alive with the phone etc... I called and she had 3

phone calls ahead, They said she would call back, but I dont know how, SHe

cant get free for even a minute.

I am going to have to put a device on myphone that shocks me if I attempt to

call their number. Its so hard when you get so close you can taste it. ( You

know we all have a great sense of taste LOL).

Bob

> Worried about Pre-cert

>

> I was preaprroved a few month ago but had to cancel surgery. I was

> first told to resubmit for approval which I did. I called a few days

> later and a very nice woman looked into it for me and called me back.

> She informed me she had talked to precert and all we needed to do

> was call a number at precert and it would reactivate it. I'm all

> scheualed for the 24th and waiting for Barbara to confirm its a

> go ,of cource I have purchased 3 tickets for this (me, my husband and

> One for the mother in law to watch the child) and rented a car. Now

> of cource I'm on pins and needles wondering about that precert. I

> just don't want to bother Barbara. I'm practicing being patient and

> having faith.I e-mailed her this a.m and thought for sure she would

> get back to me today. she didn't.

>

> Kathie265

>

>

>

>

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[Guest guest]

I would love to. I saw Dr. R's note about reading alot of packets and turning

alot of people down. I fear I am one of them, since I didn't hear anything

today. Its this insurance stuff. I thought I was okay going as a self pay, I

have the money, but since My Dr. is a part of my insurance, I couldn't yet

get a letter from her about everything, since they dissapproved. I thought I

could have the History and Physical at Dr. R's thought I read him post that t

someone. Iknow my Dr. will follow me and see me if I make an appointment, But

I don't think she can put anything in writing since she is an agent of the

insurance and they denied.

This was my last hope. I am really bumbed. Although I havent heard I'd been

rejected or turned down, I guess I'm just at the point were it seems to goo

to be true.

Think I'll go eat everything in sight.

I will be thinking and praying for you. You will do great. You have the best

surgeon anywhere, I can tell. I am in the Healthcare Administrative Field and

I have researched well. He's the best.

Bob

[Guest guest]

Bob - I've been reading your posts but I'm not that familiar with anyone so I

get confused. I know you are just going to self-pay, right? I was getting to

e-mail you and say " I've only got one other littermate for the week of 8/21

join us " But I know that you are ready to go. I made myself wait until that

week to give my family time to get organized. I shouldn't have purchased

airline tickets but if you don't get them enough time they jack the rates way

up. Also, pain- I don't like it either but it(MGB) has been compared to a

gallbladder lap surgery and that was a piece of cake! I wanted to go home

hours after and went to the mall the next day. So that's what I'm keeping in

my head. Isn't this so exciting?? Update: I found this email I was typing to

you when I got boot off. So I'm going to send it now. also if you didn/t do

your package right go back, Take a deep breath, relax and do it right, the

time will come-I've been waiting 3 months since my insurance approved me to

make sure it was OK for my liver.

Kathie265

[Guest guest]

Hi

Im safely on the other side and remember feeling the

same way....It took all I could do to not email or

call everyday....I was soooooo impatient its a wonder

they didnt throw me out once I got there....but youre

right...they are way overloaded and need our

understanding....but if you are waiting too long...I

suggest calling....

anyone with questions can email me

good luck

and see you on the other side soon

Jeanne in NY

pre op wt 321#

3 wks post op 297#

lost 24 #

--- " Steele, " wrote:

> The poor woman is buried alive with the phone etc...

> I called and she had 3

> phone calls ahead, They said she would call back,

> but I dont know how, SHe

> cant get free for even a minute.

> I am going to have to put a device on myphone that

> shocks me if I attempt to

> call their number. Its so hard when you get so close

> you can taste it. ( You

> know we all have a great sense of taste LOL).

>

> Bob

>

> > Worried about

> Pre-cert

> >

> > I was preaprroved a few month ago but had to

> cancel surgery. I was

> > first told to resubmit for approval which I did. I

> called a few days

> > later and a very nice woman looked into it for me

> and called me back.

> > She informed me she had talked to precert and all

> we needed to do

> > was call a number at precert and it would

> reactivate it. I'm all

> > scheualed for the 24th and waiting for Barbara to

> confirm its a

> > go ,of cource I have purchased 3 tickets for this

> (me, my husband and

> > One for the mother in law to watch the child) and

> rented a car. Now

> > of cource I'm on pins and needles wondering about

> that precert. I

> > just don't want to bother Barbara. I'm practicing

> being patient and

> > having faith.I e-mailed her this a.m and thought

> for sure she would

> > get back to me today. she didn't.

> >

> > Kathie265

> >

> >

> >

> >

> > This message is from the Mini-Gastric Bypass

> Mailing List at Onelist.com

> > Please visit our web site at http://clos.net

> > Get the Patient Manual at

> http://clos.net/get_patient_manual.htm

> >

> > To Unsubscribe Send and Email to:

> > MiniGastricBypass-unsubscribe (AT) egroups (DOT) com

> >

>

__________________________________________________

[Guest guest]

-Hi Bob,

Even if this packet is rejected, you can still pull it together

better and apply again, I think. It is not time to despair yet. You

haven't been waiting as long as half of us yet. I can't believe how

long some of these faithful posters have been working and praying

their way toward surgery. Practice just a little patience.

I don't get the connection with your doctor not being able to say

she will follow you. You are not asking your insurance to pay now.

She just needs to say that as a professional she will work in

conjunction with Dr. R. and the follow up test he requires and be

aware of how your body will be different. What if you had emergency

surgery out of network on vacation and insurance didn't pay, would

she not work professionally with the post op instructions from that

surgery?? I bet she will cooperate if you talk to her about it. I

do not see a conflict of interest. She could be on the board of an

insurance company that " wrongly " chooses not to cover WLS and still

think that WLS is a good option for you or at least a viable option.

What am I missing?

Sorry if this sounds harsh - hang in there,bud! You got to want it!

Laurie in Ohio

[Guest guest]

RsteeleVa@... wrote:

>

> I would love to. I saw Dr. R's note about reading alot of packets and

> turning

> alot of people down. I fear I am one of them, since I didn't hear

> anything

> today. Its this insurance stuff. I thought I was okay going as a self

> pay, I

> have the money, but since My Dr. is a part of my insurance, I couldn't

> yet

> get a letter from her about everything, since they dissapproved. I

> thought I

> could have the History and Physical at Dr. R's thought I read him post

> that t

> someone. Iknow my Dr. will follow me and see me if I make an

> appointment, But

> I don't think she can put anything in writing since she is an agent of

> the

> insurance and they denied.

> This was my last hope. I am really bumbed. Although I havent heard I'd

> been

> rejected or turned down, I guess I'm just at the point were it seems

> to goo

> to be true.

> Think I'll go eat everything in sight.

>

> I will be thinking and praying for you. You will do great. You have

> the best

> surgeon anywhere, I can tell. I am in the Healthcare Administrative

> Field and

> I have researched well. He's the best.

>

> Bob

All is not lost, Bob. Get a new PCP. You don't *have* to be a slave to

a lousy insurance company and worse, have a doctor who is more worried

about an insurance contract than her Hippocratic oath and her duty to

her patients. You couldn't pay me to go to a doctor like that.

[Guest guest]

The 21st would be great. I guess my packet just seemed so little. Had My

Letter, Fmaily Letter, Pictures and 10 contacts. Nothing from PCP cause

insurance didn't approve, I wantd to get my physical at Dr. R's. I read a

post that he would do that. I guess the follow-up might be the issue. But I

onlylive 3 hours from him. I would drive ther every day and have him

follow-up but maybe he is too busy.

I would just like to hear something, to tell me if there is just 1 or2 more

things I need t do to get a date. A little more contact would be nice, but

again i know they are swamped.

[Guest guest]

Bob, I think you need a history and physical from your PCP, and you also need

a letter from your PCP stating that he/she will follow you after your

surgery. I don't think that Dr. Rutledge has time to follow you after. The

post you saw about him doing an exam was only if your insurance requires it,

I think. BCBS requires that you are examined by the surgeon before they will

give approval. At least that is how mine was, and I know many others were.

Unless you are lucky enough to have fighting for you, then you

don't need to see him before you are approved. is really wonderful,

she has done so much for so many people on this list. She knows how much Dr.

Rutledge has helped so many people, and she helps him to help more. Just

take your time and get the things you need for your packet, and I am sure you

will make it!

Deb in IL