Surgeon is out of network
by
, 07-03-2014 at 09:55 PM (1437 Views)
Well I received a letter today from my insurance, United Health Care. I don't know what is going on but apparently my surgeon and my primary care physician are both going to be out of network with my insurance starting 7/31. I was supposed to have my surgery this month but now I am considering finding another surgeon that is not renewing their contract or agreements with my insurance.
I am still waiting on my approval letter so that means I can't get my surgery on the calendar despite I had a tentative date early July.
Is this really happening!?! So I know that I do not have control over getting the claim filed and approved any quicker. I was hoping that my paperwork would have been sent from the pcp to the surgeon within a few days from my final 6 month supervised diet. Of course the I called exactly a week after my appointment and the paperwork had not been sent so I called 3 days in a roll to get that taken care of ( squeaky wheel gets the oil)
Then I called the nurse case manager through my insurance and she will be on vacation until the monday after july 4th I guess for a early holiday. So now once she returns to work and receives the claim I wonder what is the next step... and how much longer will it take for the approval or denial letter to come. I know they have 15 days to respond but I wish it would take less time so that I can get my surgery before my surgeon becomes out of network.
I wonder if the other surgeons within my Weight Loss Clinic group are also going to be out of network.