Context: I have been trying to get approved for a surgery that will alleviate intense back/neck/shoulder pain and skin rashes. I’ve done everything I need to do prior to submitting paperwork for authorization of this surgery. I just need my insurance to approve and I can go ahead and schedule surgery.
Here is my problem: I have this in writing from my insurance, Horizon Blue Cross Blue Shield of NJ:
On 8/11/21, I was told that all of my paperwork was received on 8/9/21, and that I could expect a decision to be made regarding my approval or denial within 15 business days of 8/9/21. This means I’d have my answer by 8/30/21.
I continued to check-in with my insurance via the chat feature so I’d have all interactions in writing, and so that I could know as soon as possible (in the event that they approved a little early). I was told it’s still under review.
On 8/25/21, I was told that all of my paperwork was received on 8/11/21, and that I could expect a decision to be made regarding my approval within 30 business days of 8/11/21. This means I’d have my answer by 9/23/21, almost a month later than 8/30/21.
The insurance rep apologized that I was given misinformation, but how can I hold my insurance accountable?
How do I EVER know that what they are saying is true?? When I press for answers, I am often given a non-answer work-around. I have many examples of this in writing.
But this? I mean what’s next? Are they going to tell me the new wait period is 60 business days from 8/30/21, for no reason other than I was given misinformation again?
And how can I hold them accountable to 8/30/21? I’d prefer that date over 9/23/21 obviously. I am in pain and need this surgery. It’s wild that I have to wait this long, and be given repeated misinformation regarding this process.
Please help! Thank you!
submitted by /u/AccomplishedAcadia59
[link] [comments]
Context: I have been trying to get approved for a surgery that will alleviate intense back/neck/shoulder pain and skin rashes. I’ve done everything I need to do prior to submitting paperwork for authorization of this surgery. I just need my insurance to approve and I can go ahead and schedule surgery. Here is my problem: I have this in writing from my insurance, Horizon Blue Cross Blue Shield of NJ: On 8/11/21, I was told that all of my paperwork was received on 8/9/21, and that I could expect a decision to be made regarding my approval or denial within 15 business days of 8/9/21. This means I’d have my answer by 8/30/21. I continued to check-in with my insurance via the chat feature so I’d have all interactions in writing, and so that I could know as soon as possible (in the event that they approved a little early). I was told it’s still under review. On 8/25/21, I was told that all of my paperwork was received on 8/11/21, and that I could expect a decision to be made regarding my approval within 30 business days of 8/11/21. This means I’d have my answer by 9/23/21, almost a month later than 8/30/21. The insurance rep apologized that I was given misinformation, but how can I hold my insurance accountable? How do I EVER know that what they are saying is true?? When I press for answers, I am often given a non-answer work-around. I have many examples of this in writing. But this? I mean what’s next? Are they going to tell me the new wait period is 60 business days from 8/30/21, for no reason other than I was given misinformation again? And how can I hold them accountable to 8/30/21? I’d prefer that date over 9/23/21 obviously. I am in pain and need this surgery. It’s wild that I have to wait this long, and be given repeated misinformation regarding this process. Please help! Thank you!
submitted by /u/AccomplishedAcadia59 [link] [comments]Read Morer/HealthInsurance