PhickDiva

Thanks sweetie! I can use all the help/luck I can get!

I just spoke with my caseworker at the surgeon's office, and my documentation is definitely getting submitted to my insurance today. She was actually working on it when I called. For those of you with AMERIHEALTH as your insurance provider, how long was the wait {days/weeks} to get your approval?

I agree. I think the requirements would still be the same, regardless of if your employer pays or if you self pay. That shouldn't matter. I would imagine the only difference would be how much they cover and costs. Like my plan is through my job, so AmeriHealth will only cover 50% of the surgery cost and 50% of the surgeon's cost as long as the $2500 deductible is met. My boss has to pay for the rest. But that has no effect on my requirements. The packet I was given for AmeriHealth NJ was the most recently updated one they have for this year, but the girl in the office said if there were any changes she'd let me know ASAP. So I'd say for a couple classes, nutritionist visits and 1 psych evaluation, that's not too bad at all. No pre-op diet, sleep study, or anything else like others have had to do.

I have AmeriHealth NJ PPO. I just went for my consultation with Dr. Attia on 11/27, and was given a packet explaining some of their requirements. Here's what I have thus far: - 1 Psych Evaluation - 3 Nutritionist Visits { * It SAYS 6, but a patient got accepted after only doing 3 last week *} - 3 Support Group Classes { * One per month * } He's going to do an endoscopy for me on 12/18 which is part of his own requirements. That has nothing to do with AmeriHealth. He's not going to submit all my paperwork until all of the above has been completed, but he said there's a chance AmeriHealth may or may not add more later to my to-do list. So I'm not sure. There's NO pre-op diet rule in place by AmeriHealth currently, but he said he'd like me to lose a couple pounds -- even if it's 2. As long as I don't gain, he's fine.