samantha614

You should still go

Every time I go he discusses me losing weight, and I'm willing to bet he doesn't chart it ???? I realized how unorganized they were when he switched offices and they couldn't call his patients to tell them because they didn't have formal bookkeeping of the patient's phone numbers. !!!! I have three months down. I don't want to start over! And I'm SO switching PCPs once I complete this 6 months!

Great! Good luck!!

Does anyone know what the insurance companies are looking for when the PCP has to submit the 6 month diet stuff? My PCP is so....unorganized. I started with him and I had already been being weighed so I figured I'd finish it out with him, but I have a feeling he hasn't been charting what he needs to. Anyone know what they're looking for or what the doctor needs to chart?

I'm in nursing school & I think you should absolutely bring your stuff and tell them. They definitely have seen this before, wouldn't care, and would much rather you take the precautions than to have to change the soiled bed. Don't feel weird. At all.

The pulmonologist called today and informed me that my insurance won't cover a sleep study at an office because there's no reason I can't have it at home. This doesn't bother me at all, as long as they cover it some how. I'm just curious how this works? I've had a sleep study done at an office before but never at home. Does someone stay at your house all night and monitor everything, or do they just come and set it up? Do they have to go to your bedroom to set stuff up, or just attach the leads to your body? Thanks!

I know when the new policy took effect. This isn't my issue. Thank you.

You're right. It's not worth it. I'm going to go to him and ask him to write a letter that he was out of the office like the woman suggested. Thanks!

And no, I'm in nursing school full time, so I have insurance provided through the city.

Idk my insurance because I don't know if it's technically considered healthplus, or if it's technically considered BCBS. I didn't apply for this change, the insurance company just did it and all the members rolled over onto the new plan. Now it's called BCBS HealthPlus, so I'm unsure if their policies now go by BCBS or by Healthplus. I called my insurance and now they've stated that as long as the Doctor states it's medically necessary, it's approved. She said there is nothing written about a diet beforehand. So then I called the surgeon's office and spoke to the woman who works with the insurance companies, and she told me that they do require it. I feel like no one knows what they're talking about. (At the insurance company) The woman from my surgeon's office told me to get a note from my doctor and that he was out of the office and I will just have to weigh in one extra month instead of starting over. Fingers crossed that it works. PS- I don't appreciate the condescending attitude of "how do you not know what insurance you have." I don't walk around oblivious to the world. The insurance company changed and merged their names, but are still separate entities, so it's a little confusing to figure out which policy they're technically now following. Thanks for your insightful input, though.

I had my lap band in 2008. I lost weight, but gained back a ton after I had my son. I found a surgeon who was willing to do my revision. I had the consultation, I started doing my surgical clearances. My insurance (HealthPlus Amerigroup) changed to BCBS HealthPlus. Everyone was made aware of this change happening. I was scheduled to have my lap band out on 10/27. On 10/05 I called the office to ask a question, and they informed me that they no longer take my insurance. I was floored that no one even bothered contacting me to let me know I wouldn't be having surgery in two weeks. So for a couple weeks I sat depressed, until I found an awesome Surgeon willing to do my revision, and who accepts my new insurance. So now I've been doing the 6 month diet because I've been headed towards this surgery for a while. I was at month 5!! I went into my PCPs office for a visit, only to be told he doesn't work there anymore!!!! They wouldn't give me any info, where he went, why he left, nothing. Finally I tracked him down and I'm going to see him this week. Idk what happened, but now I missed my weigh in for the month of October. Idk if my new insurance even requires this 6 month diet because when I call, they tell me they won't know the requirements until the surgeon submits paperwork for the surgery. Is that the most ridiculous thing you've ever heard?? Does anyone know if they require it? Does anyone know if my insurance will somehow accept that my dr went MIA in the middle of my diet? Maybe I can convince my doctor to add a weight in my chart for the month of October I can't start over! I cannot wait until May! I only have my psychiatrist and nutritionist left to do. I've been doing this diet and it was ruined by this fucking doctor. I'm so pissed. Idk if I'm even asking a question, just venting I suppose :/ I'm not even sure if I technically have BCBS or healthplus now. I'm so upset.