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Got a call from my insurance co. today Got a call from my insurance co. today

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  #1  
Unread 04-05-2002, 04:45 PM
Got a call from my insurance co. today

Hello sisters,

I was really worried that I would have to fight to have my insurance company approve my surgery. That I would have to prove to them that I really needed it. That wasn't the case at all. I called them the day after I got my date for surgery and they said it was approved automatically and that all I had to do was to notify them. That was a real shock! But today I was really shocked when a nurse with my insurance company called and asked how I was doing and asked if I had any questions about the surgery. I did have a couple and she was able to answer them!

Our insurance company changed Jan 1 and all the ones I've ever dealt with have never called me like that. I was real impressed.

I told her about this web site and she said she was going to suggest I visit it if I hadn't already found it!

I have really enjoyed finding this site and all the lovely ladies out there that are so compassionate!
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  #2  
Unread 04-05-2002, 07:51 PM
Got a call from my insurance co. today

wow that is great. Who is your insurance? Just curious. Glad this part of your journey went smooth.
  #3  
Unread 04-06-2002, 06:02 PM
Got a call from my insurance co. today

We now have United Healthcare. We used to have Blue Cross.
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  #4  
Unread 04-07-2002, 11:47 AM
Got a call from my insurance co. today

tHis is gonna sound stupid, but why would an insurance company refuse to pay? I mean, I know they can be idiots about some things........is it because of diabnosis? If you don't mind me asking, what is your diagnosis? I will be scheduling my surgery soon, and now I am worried I might have a problem too. (even though things turned out positive for you in the end).
thanks
  #5  
Unread 04-07-2002, 02:05 PM
Dear Sphinx

I asked my doctor about my insurance, when would I know that it had been approved, and he said that Donna, his nurse, would be handling all of that. He said that she has dealt with it enough, and would know what to tell them so that I wouldn't have to worry about it being denied. I believe that it is your dr's job to submit the requirements to your ins to get it approved. If they don't do this, then they aren't doing their job!

Hopefully your doc will pull for you the way mine has for me!!!

  #6  
Unread 04-07-2002, 02:49 PM
Got a call from my insurance co. today

Sphinx,

I have been diagnosed with endometriosis and severe cramps (this has a name but I'm not sure how to spell it!)

When I went to my doctor to schedule a surgery date, I talked with the lady that handles the insurance. She let on that we might have to prove to the insurance company that I needed the surgery. Also, my husbands employer just changed insurance companies in January and I was afraid they wouldn't pay because it's a pre-existing illness. I'm not sure if that is the case with most insurance companies, but I hear the term (pre-existing) too much when trying to get insurance for the company I work for. So that was a concern for me. So much so that I called my insurance company the day after I scheduled the date. I didn't even give the doctors office time to contact them. Which I'm sure has been done by now.
  #7  
Unread 04-07-2002, 07:38 PM
Got a call from my insurance co. today

Was your endometriosis diagnosed with a laparoscopy? I'm sorry I'm asking so many questions. It's just that when I had my lap 3 years ago they didn't see any endo, but my GYN believes it is microscopic, and has been treating me as if that is my diagnosis. I had some problems getting a script for Lupron because of it, but somehow they decided to pay anyway. Anyway, I've had many tests to rule out lots of other stuff, my GYN still thinks endo, and maybe adenomyosis. She'd be willing to continue to continue trying more birth control combintaions, but after a year and a half of pain and near continuous bleeding, I decided no. I have severe left sided pain and back pain with my period and very painful cramps, that spread through my groin and down my left leg. I also bleed very heavily, it is gross. My GYN says that I could still have pain after a hyst, if for example, all the endo isn't removed....she said they try to removedit all, but if it is microscopic, that is a problem. I figure, if I had another lap (which was another option) it'd be the same problem. The specialist I saw said he felt in my case, a hyst gave me 9 out of 10 odds to get relief of pain, and of course definatly stop the bleeding.
As for insurance, my husband will have to change insurance in July, his employer is changing to a totally different insurance provider, so I want the surgery done before then.
Thanks for listening and answering my pesky questions!
  #8  
Unread 04-07-2002, 09:02 PM
dr. diagnosis

sphinx,

No, my doc has not done a lap. When I was pregnant with my youngest, five years ago, they did a vaginal u/s, and my doc noticed that I had some unusual "blood vessels" on my uterus. He then asked me if I had problems with painful intercourse and severe cramping with my periods. I was amazed because the answer I had for him was yes! But when I asked him if this would explain the heavy bleeding, he said no. I thought that it was normal and that I was just a wimp! Anyway, five years later, I was tired of the pain and decided to talk to someone about it. I found this gread ob/gyn here in TX. He asked me was I considering having any more kids, and I told him no because dh had a vasectomy when I was 8 months pregnant with the youngest. He did a pelvic exam, and found several tender spots that caused me to come off the table. He scheduled me for a u/s to rule out fibroids and tumors, which thankfully came back negative. He then said that if I wanted, he could do a lap to confirm, but that it would not do anything to aleviate my pain. I asked him what we could do for this. He mentioned bcp's, but I told him I didn't see a reason for that as dh had already taken care of the no more baby thing, so we opted for a hysterectomy as being the best thing for me to control my pain and other problems!! So, her I am waiting for my tah/bso. I think that is the hardest part...the waiting.

Where your insurance is concerned, if what you have is good now, do it while you have the confidence in it being approved!!!

I wish you all the best!! My thoughts and prayers go out ot you!!
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