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approval without letter of necessity

kimmykat82

By kimmykat82, in Insurance & Financing

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kimmykat82    24

kimmykat82
Posted

Hi everyone! Completely new here! I just wanted to know if anyone else was having a hard time getting the letter of necessity from their pcp? I have United health care and I asked the surgeons office to submit the insurance packet without it (doing that today keep your fingers crossed) but I wanted to know if anyone else has had issues getting the letter and if there's a chance for approval without it?

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sp70    193

sp70
Posted

My insurance (cigna) denied til they received the letter from my pcp. Not sure about others. Good luck!

Ms.Vickie reacted to this

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dawalsh    919

dawalsh
Posted

My doctor (PCP) was very compliant. He wrote that it was a medical necessity. My insurance needed that letter before I would be qualified.

Also, my BMI was 40.5 when I started my BMI is 32.6 now if I calculated correctly. I was borderline on the BMI factor so I was sweating it out but my doctor got that letter into my insurance right sway.

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carol285    145

carol285
Posted

My PCP wasn't initially supportive but then my Cardiologist actually asked me if I ever considered WLS so I told him I have & very seriously recently but my PCP seemed less then in favor of this route. So he put in his notes that he discussed this as a viable option for me. I then went back to PCP & she sang a different tune!!!

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catfish87    3,471

catfish87
Posted

My PCP wasn't initially supportive but then my Cardiologist actually asked me if I ever considered WLS so I told him I have & very seriously recently but my PCP seemed less then in favor of this route. So he put in his notes that he discussed this as a viable option for me. I then went back to PCP & she sang a different tune!!!

Great Post! This just goes to show, there are many ways to overcome a less than supportive PCP.

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kazjim98    618

kazjim98
Posted

Does your PCP just not want to give you one? That totally sucks....is changing PCP's an option? It just seems so ridiculous for him/her not to give you the letter......I'm so sorry :(

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aviva1979    375

aviva1979
Posted

My insurance (cigna) denied til they received the letter from my pcp. Not sure about others. Good luck!

Ditto

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kimmykat82    24

kimmykat82
Posted

My pcp told me "if I drop you in the desert for 10 days and don't feed you you'll lose the weight..so I don't think you'll need the surgery" ugh he's a butthole

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NWgirl    574

NWgirl
Posted

I went with a new pcp when I was going through the process because the one I was with was unwilling to look at wls as a viable option. I also got a letter from my pediatric doctor (I was 23 at time of surgery) because he had been my Dr throughout childhood and had watched me struggle as a teen to lose weight with no avail.

If your Dr who you're paying is unwilling to ve supportive in the way you wish, hire a new one.

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DMJ 0340    21

DMJ 0340
Posted

Your PCP doesn't sound very supportive, they sound like a total ignoramus! If you aren't able to get their support you really should find someone who will! Good Luck!

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mrs.jones0112    0

mrs.jones0112
Posted

I am also in the same boat my pcp was very nadty towards me treated me like a child so i found another pcp i see them in aug i hope to have the surgery by jan 2014

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