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lulabelle607

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lulabelle607    24

lulabelle607
Posted

I called ins company today and asked the requirements for wls. I'm in month 3/6 of my pre op diet and just wanted to double check I have everything they need before I send in my information at the end of the 6 months. The lady on the phone said the 6 mo requirement is nowhere to be found on their end. I'm wondering if they dropped that requirement??

I see my nut and dr tomorrow but if this is true I could get surgery much sooner than expected! She did say they need a pre authorization from my dr...I'll have to get that but I think that's all that's left that I have to do!

barbb3 reacted to this

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barbb3    115

barbb3
Posted

I will keep my fingers crossed for you! Good luck!

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lulabelle607    24

lulabelle607
Posted

I will keep my fingers crossed for you! Good luck!

Thank you! I have no idea what a prior authorization is but I'm sure my dr will :)

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countrygirl    84

countrygirl
Posted

Thank you! I have no idea what a prior authorization is but I'm sure my dr will :)

Today is my 1 yr sur givers are , I'm feeling like a million bucks! ! I'm down 100 lbs &plan to lose maybe another 20 lbs & do plastic surgery next summer to hit my plateau..

Bring It On reacted to this

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DaronB    103

DaronB
Posted

@@lulabelle607, what ins you got?

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lulabelle607    24

lulabelle607
Posted

@@lulabelle607, what ins you got?

I have molina

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Sparklingbeauty53    202

Sparklingbeauty53
Posted

Awesome news! Keep at it. Good thing you called!

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Bring It On    55

Bring It On
Posted

I have Tricare. I don't have to do any pre-diet as well. My first dr. apt is 8/7. I was told that I could have my surgery as early as the end of August. You just need to have your PCP send a referral to the Ins. company referring you to the WL clinic/dr. of your choice. Then the WL center will take it from there. Funny thing happened to me, I was right at the BMI 35 for WLS. They told me at the seminar to "slump" when measured, and drink LOTS of Water before being weighed with "heavy shoes on". Got a good laugh at the seminar!!

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Bring It On    55

Bring It On
Posted

Thank you! I have no idea what a prior authorization is but I'm sure my dr will :)

Today is my 1 yr sur givers are , I'm feeling like a million bucks! ! I'm down 100 lbs &plan to lose maybe another 20 lbs & do plastic surgery next summer to hit my plateau..

Congrats Country Girl -

Would like to hear about your year. I think my planned weight loss is a lot like yours has been. I'm sure I will have plastic surgery when completed. At least the belly and boobs. Hope you don't mind if I friend you!

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lulabelle607    24

lulabelle607
Posted

I spoke with my patient advocate about what the lady I spoke with from customer service At Molina said. She said she hadn't heard about any recent changes so I may have gotten the wrong information. She said she'd call my insurance and get the all the requirements and see if anything had changed and that she'd call me back that same day.

That was Wednesday. I tried calling Thursday and Friday and she didn't answer nor did she call me back. This run around is NO FUN!

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countrygirl    84

countrygirl
Posted

I spoke with my patient advocate about what the lady I spoke with from customer service At Molina said. She said she hadn't heard about any recent changes so I may have gotten the wrong information. She said she'd call my insurance and get the all the requirements and see if anything had changed and that she'd call me back that same day.

That was Wednesday. I tried calling Thursday and Friday and she didn't answer nor did she call me back. This run around is NO FUN!

I called & verified my own & then let drs office do the same

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