Doctors Please List if you know...

ProsperNLose · December 22, 2006

Im having a HUGE problem with my doctor,she wont even join the fight with me to get payment for my Lapband Surgery because she says they'll turn me down because I have no major health problems,besides the fact of what runs in my family and my BMI being 36.9(202lbs) at 5'2 inches tall in height.

I Need A SUPPORTIVE DOCTOR,any one know any in the Cincinnati,Ohio area?so that I may have support while trying the insurance companies for payment to get the surgery?

vluckey · December 24, 2006

You doctor really isn't the problem as much as the insurance coordinator (I would think). The thing is, they generally know what it takes to get approved and I think they wouldn't want to get your hopes up and/or waste their time if they know that there is no chance of approval.

I truly was shocked that I got approved, even though my bmi was 42, I had no health problems. I got a diagnosis of sleep apnea as a part of my approval process, but I had never had a problem with it. My doc's insurance coordinator was very good and thought I had a good chance from the beginning.

I will always sing the praises of Dr. Trace Curry and his staff here in Cincinnati. He's Dr. C on this web sight. You might want to talk to them.

lmpersons · December 29, 2006

My dr. is Dr. Allison Clarey in Dayton; my BMI is 37, I have no co-morbidities, and am waiting on approval in January. Talk with PattyJ at dr. Clarey's, they will work with you in writing letters to your insurance explaining the necessity to your health- GOOD LUCK

TracyinKS · December 29, 2006

I would say find out who in your insurance network of doctors performs the surgery and start shopping around! You MUST be proactive in the fight. Also go to your HR person and find out what provisions or exclusions are in your INSURANCE SPD (Plan Document)