Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I am almost ready to be submitted to insurance. The only thing stopping me is the WLS doctor wants a note from my PCP showing support. I have talked to my PCP multiple times and he is fully on board. So WHY is it so hard to get this stupid letter done?

The first one the PCP sent was stupid. WLS center let me read it and it sounded like a first grader wrote it. So the WLS faxed a template to my PCP to use. Nothing. So Friday, I was at my PCP and I stood there watching my PCP write notes on the template and then he gave it to the admin to type up and fax over.

I called the WLS doctor today and they still haven't received the letter. Why not?! So I called the PCP and am waiting for them to call me back.

I have ran around going to appointment after appointment trying to get this WLS approved. Why can't just one party actually try to help me out for a change?!

Okay, vent over.

Share this post


Link to post
Share on other sites

This process is not for the faint of heart! It takes forever and requires extreme diligence and advocacy for yourself.

Hang in there. It will happen!

Share this post


Link to post
Share on other sites

I am just ready to move on to the next phase. I started the process on September 10, and still haven't been submitted to insurance!

I am excited and I know it will be worth it.

Share this post


Link to post
Share on other sites

Same thing happend to me.. is incredible how my doctor took exactly 4 months to make a letter.. I was calling them every two weeks and their answer was his too busy rigth now... uuuggghhh i also got depressed Because I end up making an appointment just to tell him what is going on with the letter.. and he told me he was sorry about it and that he was going to fax it by the end of the week.. uuuuggghh the letter never got there.. I ended up seen some other doctor from the same team and that other doctor spoke with my doctor and finally after all those months I got my letter.. smh

Share this post


Link to post
Share on other sites

Well I got in touch with my doctor again, and now the letter is refaxed and made it this time. So my chart is officially handed over to the insurance coordinator and now I just wait for approval! January surgery, here I come!

Share this post


Link to post
Share on other sites

I ran into the same problem... My PCP said he shouldn't have to send a letter until it was time for my pre-op testing. i called his office first every week, then every couple of days, then daily and finally the insurance coordinator from my surgeons office called and he finally wrote and faxed the letter.

Insurance approval came through days later and my surgery is scheduled for Dec. 4th. I'm so excited!!!!

Share this post


Link to post
Share on other sites

I hope my approval comes through that fast. Although I am waiting until January either way because I am starting a healthcare spending account through work to help pay for it.

Share this post


Link to post
Share on other sites

I get submitted Friday. Good luck to you!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×