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Insurance Fears

(6 posts)
  • Started 8 months ago by lkelley2422
  • Latest reply from lkelley2422
  • 2 Members Subscribed To Topic
  1. lkelley2422
    Member

    Hello!

    I am really happy to see that so many people are going through the same thing as me! So here it goes, the laundry list.

    I have an extreme overbite. It affects my ability to speak sometimes, and defiantly to eat,( oh how I long for corn ON the cob)possible sleep issues, and it has made my gingivitis thousands times worse because of the mouth breathing.

    I have surgery scheduled for 9/21/2011.

    So here is the deal, I got my surgery hooks put on yesterday, and my bite adjusted to meet up correctly with my new alignment. I also found out that I have really bad root shortening, so the braces need to come off ASAP after surgery and healing.

    I called my insurance company today 9/13 just to make sure all was well, and they stated they needed more information. I called the Dr.'s ( Dartmouth Hitchcock Lebanon NH) office yesterday and they said they sent information on 9/12. I am really concerned that they are still going back and forth so close to my date..

    Anyone else have a similar experience that turned out okay?

    Posted 8 months ago #
  2. April
    Member

    I have had a similar experience...
    My surgery is Monday morning(Sept 19), I've had all my pre-op appointments with the surgeon and this morning I got my surgical hooks put on at the orthodontist. It wasn't until I left the ortho's office and called the insurance company (again!) that I finally got the good news that its been approved! Phew!
    I have been on pins and needles for two months, and they kept me hanging til 5 days before I go in. So frustrating! I've spent so long psyching myself up for this major event in my life, while this week I just kept to trying to accept the chance of it not happening! Luckily, its all turning out as planned.

    My insurance also asked for more information and records last week (Sept 7), which was weeks after they said they had all they needed. The last thing I heard was that they would give me an answer by the 24th! 4 days too late! The whole time I was wondering what I would do if a re-schedule was needed(un-do work arrangements, cancel family help plans, etc), or if they were just going to deny it altogether. I've had a million x-rays and records and work-ups made by the surgeons already, and even the office staff at the surgeon's were getting nervous.

    Anyway, what I did was call them (insurance co) myself every single day since my Sept 7 appointment. I went by the belief that "the squeaky wheel gets the oil", especially since the doc's staff has been calling them everyday too. Eventually, I got through to people higher and higher up, until yesterday when I asked if they could expedite the response and somehow I got approval the next day. Whether or not that helped hurry it up, I'm not sure, but it didn't hurt. I still don't understand how they do things.

    I would just call your insurance as many times as you can and ask for the status of your pre-certification. When they say it is still pending, ask what the estimated date of the decision is, then tell them you have been scheduled for the 21st and ask if they can expedite the decision to make that date. My best advice is to be as sweet and polite as you can possibly be because you'll always get more help! Then, call your surgeon's office and see if someone there can get the surgeon to call the insurance company himself. The last person I talked to told me that the people who decide these things will not talk to patients or anyone else, but will talk to the doctors.

    I'm sorry you're going through this mess when your energy and focus should be on staying healthy and strong, not worrying about insurance! I was still in the same boat this morning. It sucks, but even if you have to reschedule, everything will be okay. I'm keeping my fingers crossed for you. Hang in there and good luck!!

    Posted 8 months ago #
  3. lkelley2422
    Member

    April I am glad your experience turned out so positive! I have been calling them everyday and finally got my case manager to call me. She said she is working on it directly and will let me know. I did speak to someone at Aetna who said it should be covered they just need to confirm.. still no word yet so I am going to call again tomorrow. I am just getting really nervous since its Wednesday so part of me is scared about the surgery and part of me is scared it wont happen.

    Best of luck tomorrow AM!!! I hope everything is seamless for you :)!!!!!

    Posted 8 months ago #
  4. Anonymous

    I'm in the same situation. Waiting for Aetna. Who do you call about your inquiry?

    Posted 8 months ago #
  5. Ryan
    Member

    1(800)531-7895 for Aetna Oral Surgery

    Posted 8 months ago #
  6. lkelley2422
    Member

    I finally got my surgeron to call and it got approved from there. It was a very long battle, ut I'm heqling now. Good luck to you!

    Posted 8 months ago #

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