Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

What Are The Final Insurance Steps Like?

Hey Everyone!!

So, I have a minor dilemma. I have my consult on the 28th. I know that my surgeon will ask for pre op test like blood work, ekg U/S of my abdomen and EKG. That means I have to go to my PCP and request all of those. Well, she isn't very cooperative with anything I ask for. ( really really long story). Then I would have to go back to my surgeon for my pre Op appointment.

Now, my question is, Do I need another referral to go back to my surgeon for my next appointment? On my referral paper it say it is for a consult only. But if my surgeon asks for all of these test and they all come back clear and he believes this surgery is medically nessacery do I have to got through the referral process all over again. ( i was first denial by my medical group for a consult. Then I sent a appeal to aetna with all records and papers and they approved my appeal and I won for a consult)

Second question is, for all of my pre op testing should I or can I go to another pcp within my medical group and ask for these tests? I dont want to jeopardize any chances or timing with all of this. Im affraid the my now PCP will give me a hard time about these test. Can I get a written request from my surgeon for these tests?

SO far I have done:

6 month supervised Diet

seminar

support group

Psych evaluation

Upper GI

What I have left:

Full panel blood work

EKG

U/s of abdomen

chest xray

Thank you guys so much for your responses and advice. With what I have went through, I am traumatized but everything my medical group has put me through. So scared to make any wrong moves.

Thanks again xoxo

natasha :)

  • Replies 1
  • Views 946
  • Created
  • Last Reply

Top Posters In This Topic

Featured Replies

  • Author

Just called my PCP's office. I dont need to go in to get the orders for the tests. My surgeons office just needs to fax over the request.

Thank God!

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.