I have UHC- empire plan. After visiting a number of surgeons, attending a plethora of wls support groups, I thought I finally found a wls surgeon that I wanted to proceed with. I went to my 1st mtg prepared with 6 month notes of weigh ins and diet attempts from my primary care dr. To my dismay and shock, the patient coordinator told me that the notes would not get me approved for the sleeve. This was perplexing as the notes indicate my health problems. I have done 1 year of weigh ins. the pc stated that I needed to detail food logs and nutrician plans and more information. this patient coordinator explained that I would have to do 6 month vistis with the nutritionist- basically weigh ins all over again! I dont mind seeing the nut; in fact, i welcome this. However, it would be the same price if i go to see the nut once or 10 times, so why make me go through this process again? then to add insult to injury, the pc will not provide me with a real sample template.

I feel defeated.

anyone with some suggestions? maybe pointers on the letters they submitted?

I have UHC- empire plan. After visiting a number of surgeons, attending a plethora of wls support groups, I thought I finally found a wls surgeon that I wanted to proceed with. I went to my 1st mtg prepared with 6 month notes of weigh ins and diet attempts from my primary care dr. To my dismay and shock, the patient coordinator told me that the notes would not get me approved for the sleeve. This was perplexing as the notes indicate my health problems. I have done 1 year of weigh ins. the pc stated that I needed to detail food logs and nutrician plans and more information. this patient coordinator explained that I would have to do 6 month vistis with the nutritionist- basically weigh ins all over again! I dont mind seeing the nut; in fact, i welcome this. However, it would be the same price if i go to see the nut once or 10 times, so why make me go through this process again? then to add insult to injury, the pc will not provide me with a real sample template.

I feel defeated.

anyone with some suggestions? maybe pointers on the letters they submitted?

first I would contact my insurance and make sure that the info from the PC doctor is acceptable. Get that in writing and take it with you to the surgeon or find a new surgeon who is wiling to try to file. Give them the argument that the worst that could happen, is the insurance denies and says you have to do it through the nutritionist. If they accept, then you are all set to go on. Good luck.