Well, I kind of knew this wouldn't be a smooth process but I was hoping I was wrong! We just recently switched health insurance carriers and I was sure to contact the new carrier, with the employer group number, BEFORE we switched to make sure that the gastric bypass and the sleeve gastrectomy were covered. I was told yes and I was also told that failure at a 6 month medically supervised diet was not a pre-requisite. I even had the company mail me a copy of the surgery requirements as documentation of what I was being told.
We got our insurance cards and I decided to call the insurance company back just to be sure that I had all of the information regarding pre-requisites for the surgery, only to be told that there is a 6 month medically supervised diet requirement!!! Uhhhggg!!! I asked about the documentation I had stating otherwise and was asked when I received that letter as they (the insurance carrier)had JUST updated their information regarding requirements. Well, of course I panicked and called the surgeon's office and spoke to Kim who handles billing issues. She assured me that the information they were giving me was outdated and to call back and speak to a supervisor. Well, I did that and was told the same thing....Um, now what???
I don't want to go through with all of the preliminary testing and doctor's appointments only to receive a denial letter down the road. I am going to fax my insurance card to Kim as she volunteered to call the insurance company on my behalf to check on the benefits. I'll keep you posted...
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