Scared of not getting preauthorization approval

[tegolden100]

I have done all the bells and whistles required to get approved for my weight loss surgery yet I am scared to death that I won't get approved.

 

[dianeseattle]

I have done all the bells and whistles required to get approved for my weight loss surgery yet I am scared to death that I won't get approved.

It's really unlikely that you'd be allowed to go through the testing and then not be approved. I assume you're using insurance to do this, and you've created a trail of compliance, which is what the insurance company MUST have before paying a claim. Are you 100+ pounds overweight? Have you seen a nutritionist? Have you lost some weight after being told it's a step in the process? Okay, you're scared, or nervous, or suffering from an anxiety we've probably all shared. TRY AFFIRMATIONS instead of giving in to fear. I've provided a link to a fantastic book you can read for free online (I bought it back in the day, but now it's a *.pdf) called THE ONLY DIET THERE IS. Honestly, I can't tell you how much this book helped me. It changed my life.

Please give yourself a break. Take a deep breath. Say, "This is happening!!!!" Think logically, the first, most important thing: you wouldn't have had to go through all the bells and whistles if the company wasn't determined to qualify you.

Stick around here, enjoy the thousands of success stories. It's not a big deal. It's a medical procedure, and you have to follow the steps to qualify. You're as good as in already.

 

[tegolden100]

I'm close to 100 pounds overweight my bmi is 37.1 and the doctor explained to me about all different kinds of procedures before I did all steps necessary

 

[StephT]

My insurance company required 6 months of appointments and testing with the surgeon, nutritionist, psychologist, cardiologist and probably others that I blocked out since it was 4.5 years ago. Other insurance companies required 3 months or up to a year of pre surgery services to determine preauthorization. The hardest requirement was having to write a 2 page letter explaining why I wanted the surgery. You have completed all the required steps and a doctor would not make you go through all that if they had any indication that you would not be approved. I think of it as more of a checklist, things that need to be completed before the surgery takes place.

 

[JustMe]

My bariatric doctor actually calls it my checklist. Hmmm....my doctor did not ask me to write a two- page letter. That's the first time that I heard that. I bet your letter was authentic, heartfelt, and awesome!

 

[lilspooky]

I just finished all my testing I am scared I’m gonna get denied my insurance is Medicaid and mass heath their very picky

 

[summerfleming]

I have done all the bells and whistles required to get approved for my weight loss surgery yet I am scared to death that I won't get approved.

I'm worried about the same thing! I'm just starting the process of doing what my insurance requires and I can't help but worry that I will do all of this and not get approved.

 

[dianeseattle]

I'm worried about the same thing! I'm just starting the process of doing what my insurance requires and I can't help but worry that I will do all of this and not get approved.

I'd like to say, to both of you and any others who are worried about this, that if you've gone through the majority of the required steps, there's almost no possibility you'll be turned down. It would virtually be malpractice on the part of the consulting physician. As you go through each step, the doctor will review your results and if you fail or if something is wrong with your system, your doctor will STOP RIGHT THERE and deny you. These steps cost a lot of money and if a doctor lets a candidate get through them, even though the patient obviously doesn't conform to the requirements, it's unlikely an insurance company or government agency will let him/her do it again. He or she would be out of business. So the chance you'll be thoroughly vetted and THEN be turned down? HIGHLY unlikely.

Relax. You should be getting your post-op food journal set up, figuring out how you're going to get in your 8 glasses of water every day, stocking up on post-op foods and preparing the right portions in your freezer so you'll be able to comply immediately and you'll have no obstacles to success. At the very least, by doing these things, you'll be improving your life, whether you get surgery or not.

 

[StephT]

I agree with Diane. In most cases, a bariatric program and surgeon aren't going to invest months of appointments, testing, evaluations, and preparation unless they believe you are a good candidate and have a strong likelihood of being approved for surgery. The purpose of all of those steps is to identify and address any potential concerns before moving forward.

Of course, if someone isn't following the program requirements, that could affect the outcome. But if you're doing what is being asked of you, attending your appointments, and successfully completing each step along the way, there is every reason to trust the process. Unless a significant issue comes up during the evaluations, it's helpful to remember that each completed requirement is moving you closer to your goal, not further away from it.

Try not to let fear of a possible denial overshadow the progress you're making. Focus on the steps in front of you and give yourself credit for the work you're putting in.