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xoxomaya

Pre Op
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  1. Like
    xoxomaya got a reaction from ebbii0927 in Covering 6 month requirement for insurance   
    I had my first consult with a surgeon last week on July 28th. Then I was contacted by his Patient Program Coordinator with info on how we will proceed to get me to surgery. When I initially spoke with her over the phone, she said I will need 4 monthly appointments with a nutritionist. And that I should be able to get surgery scheduled for December. I really want to get it done before the end of December.
    She then sent me a lot of forms and literature to go over. One of the brochures she sent listed what each insurance requires. My insurance requires 6 monthly visits with a nutritionist.
    I asked her about it since she only mentioned 4 monthly appointments over the phone. She said that she counts my initial appointment with the surgeon last week as 1st appointment and she will use his notes to submit to insurance. Then Aug, Sept, Oct, and Nov appointments with a nutritionist. And then the final visit with the surgeon in December to pick surgery date will count as 6th visit.
    She definitely sounds like she knows what she’s doing. She seems very organized and efficient and basically told me if I follow her schedule, do all of my appointments with a nutritionist and other doctors I need to see to get clearance etc, I shouldn’t have any problems and should be good for December date.
    I am little concerned about only having 4 actual appointments with a nutritionist which may be a problem at the end. On the other hand, I am not her first patient with my insurance and I do think she knows what she’s doing.
    My concern with not getting December date and that I would end up paying my high deductible for both 2020 and 2021, AND I can’t take time off work between Jan and end of April, so if I don’t get December, I will have to wait till May.
    Has anyone seen this before? Do you think this will work to cover insurance requirements of 6 monthly appointments? Any thoughts?
    Sent from my SM-G960U1 using Tapatalk
  2. Like
    xoxomaya got a reaction from ebbii0927 in Covering 6 month requirement for insurance   
    I had my first consult with a surgeon last week on July 28th. Then I was contacted by his Patient Program Coordinator with info on how we will proceed to get me to surgery. When I initially spoke with her over the phone, she said I will need 4 monthly appointments with a nutritionist. And that I should be able to get surgery scheduled for December. I really want to get it done before the end of December.
    She then sent me a lot of forms and literature to go over. One of the brochures she sent listed what each insurance requires. My insurance requires 6 monthly visits with a nutritionist.
    I asked her about it since she only mentioned 4 monthly appointments over the phone. She said that she counts my initial appointment with the surgeon last week as 1st appointment and she will use his notes to submit to insurance. Then Aug, Sept, Oct, and Nov appointments with a nutritionist. And then the final visit with the surgeon in December to pick surgery date will count as 6th visit.
    She definitely sounds like she knows what she’s doing. She seems very organized and efficient and basically told me if I follow her schedule, do all of my appointments with a nutritionist and other doctors I need to see to get clearance etc, I shouldn’t have any problems and should be good for December date.
    I am little concerned about only having 4 actual appointments with a nutritionist which may be a problem at the end. On the other hand, I am not her first patient with my insurance and I do think she knows what she’s doing.
    My concern with not getting December date and that I would end up paying my high deductible for both 2020 and 2021, AND I can’t take time off work between Jan and end of April, so if I don’t get December, I will have to wait till May.
    Has anyone seen this before? Do you think this will work to cover insurance requirements of 6 monthly appointments? Any thoughts?
    Sent from my SM-G960U1 using Tapatalk
  3. Like
    xoxomaya got a reaction from GreenTealael in PCP question   
    Thank you
    Yes, coordinator gave me names that she recommends. I just need to check and find one in network.

    Sent from my SM-G960U1 using Tapatalk

  4. Like
    xoxomaya got a reaction from GreenTealael in PCP question   
    I don’t have a Primary Care doctor. My coordinator said I need to establish care with one now so when the surgery time comes hopefullyin December, I can get medical clearance quickly. She said I need to schedule an appointment with PCP now. What I am not clear is what am I supposed to schedule an appointment for right now? Just a physical? And tell them I am planning to have surgery in December and will need to get clearance then?
    Sent from my SM-G960U1 using Tapatalk

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