Wednesday, May 20, 2009

Still Waiting...


My goodness, this time that it's taking to find out of my insurance is going to approve my surgery or not is killing me! The scheduler at Scottsdale Bariatric is obviously very busy right now, because she hasn't been returning my emails or phone calls. So I decided to call the insurance company myself!
Basically what they told me was that my claim is pending. This is how the conversation went(Me is of course myself and BCBS is Blue Cross Blue Shield, my insurance):

Me: Hi, I'm trying to check the status of a pre-authorization claim for my surgery.

BCBS: Is this Stephanie?

Me: Yes ma'am it is.

BCBS: Ok. We show that your request has been received from your surgeon's office and is currently pending. Because you have a 12 month pre-existing condition on your plan, we need to verify that you have not been treated for this prior to November 11th, 2008, which is when your policy with us started.

Me: Oh, ok...what pre-existing condition is that?

BCBS: Any illness or symptoms that you have requiring the surgery.

Me: Well, I don't completely understand. I've been overweight MUCH longer than November 11th of 2008. That is why I'm having the surgery.

BCBS: Have you been treated for it?

Me: Treated for what? Being fat? My doctors have given me diet plans, but obviously they were ineffective. I'm not sure what it is you are looking for that was done or not done before November. I did not start the surgery process until after November 11th, 2008, if that's what you mean.

BCBS: Ok, well our doctor on staff is going to review your information that was faxed over to see if he finds a pre-existing condition or not. If not, then he will approve your claim and you will be mailed an authorization number.

Me: Alright, do you know how long that may be? Just a ballpark idea?

BCBS: Probably within a couple days, the paperwork is probably sitting on his desk right now (laughs). But feel free to call back and check the status if you don't hear anything within a couple days, ok dear?

Me: Great, thank you so much

We said our good-byes and that was that. So...I'm a little concerned about this "pre-existing condition" thing...not entirely sure what they're looking for or what they'll find!

I'm not calm enough to wait for things like this! I just want to know NOW! *sigh*

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