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

Which is the right order to take



Recommended Posts

Do the order you go see the dietitian, Psych Dr, & Surgeon vary according to which particular insurance you may have? I've noticed some people have taken their psych eval before meeting with surgeon, and some have met with their surgeon, before even being approved. I am really confused by that. Tell me do the surgeon submit the paper work to the insurance company to see if they'll pay for it, or do your Primary physician's office/Referral Department submit it? As for me the referral department is submitting paper work so I can see a Psych Dr. and I guess to see a surgeon as well. Can you tell me do the insurance company approve you before sending you for the Psych eval, and surgeon appointment? I need info please, lots and lots of info...... :(

Share this post


Link to post
Share on other sites

Everyone's insurance and order of appointments seems to vary, but for me I had all of my clearances done (including psych) before I met with my actual surgeon. (I had met his surgical partner, the dietitian and office management team who provided me with a very detailed binder/calendar of the whole surgical process and all the things I needed to have in place (psych, cardio, pulmonary, DVT scan, chest Xray, abdominal ultrasound & sleep study) before they would ask for insurance approval). The surgeon's office prepared and submitted the paperwork to my insurance company after choosing a "hold" date for surgery with me. Approval from the insurance company was the last thing I got before I went into surgery. Hope this helps.

Share this post


Link to post
Share on other sites

I met the actual surgeon already and still doing dietician classes. My psych eval is later this month so idk maybe it is insurance preference. The bariatric center assigned me an "advocate" and she set up every appointment needed for me. Not sure if the order is a big deal. Everybody may do it slightly different.

Share this post


Link to post
Share on other sites

I think it depends on the facility. I went to a seminar at one hospital and the next step would have been to schedule a consultation with the surgeon. The hospital I am actually going to (due to my insurance), the first step is the seminar and support group, then appointments with the dietician, then psych eval, and then after everything is done I would meet with the surgeon. All depends on where you're going. I don't think it has anything to do with insurance, but I could be wrong.

Share this post


Link to post
Share on other sites

I called my insurance company and ask for the requirements first. Then I called and scheduled an appointment with my primary care doc and the surgeon. So insurance had only 4 requiments and the surgeon has a few of his own.

Insurance required: Pych eval, 6 month diet supervised, I must use a "center of ecellance" facility, and since my BMI was below 40 I needed to have at least 1 co-morbility.

Surgeon required: (He determined these at the first appt.)

Endoscopy

Test for sleep apnea

Pulmanary testing (heart stress test)

I just tried to get all of them out of the way.

Share this post


Link to post
Share on other sites

Everyone's insurance and order of appointments seems to vary, but for me I had all of my clearances done (including psych) before I met with my actual surgeon. (I had met his surgical partner, the dietitian and office management team who provided me with a very detailed binder/calendar of the whole surgical process and all the things I needed to have in place (psych, cardio, pulmonary, DVT scan, chest Xray, abdominal ultrasound & sleep study) before they would ask for insurance approval). The surgeon's office prepared and submitted the paperwork to my insurance company after choosing a "hold" date for surgery with me. Approval from the insurance company was the last thing I got before I went into surgery. Hope this helps.

Thank You SuzeMuze Yes It Helps A Lot

Share this post


Link to post
Share on other sites

I met the actual surgeon already and still doing dietician classes. My psych eval is later this month so idk maybe it is insurance preference. The bariatric center assigned me an "advocate" and she set up every appointment needed for me. Not sure if the order is a big deal. Everybody may do it slightly different.

Thanks for the reply Zebra I appreciate it, yeah it look like it all come down ti your insurance

Share this post


Link to post
Share on other sites

I think it depends on the facility. I went to a seminar at one hospital and the next step would have been to schedule a consultation with the surgeon. The hospital I am actually going to (due to my insurance), the first step is the seminar and support group, then appointments with the dietician, then psych eval, and then after everything is done I would meet with the surgeon. All depends on where you're going. I don't think it has anything to do with insurance, but I could be wrong.

See I've done the dietitian meeting already and went to a seminar yesterday and they said they will schedule appt in about 2 weeks to meet with the surgeon, but I think if I go ahead that way I may be stuck with a bill cause it's like I am moving on my own. I have a referral cordinator working on referrals for me so I guess I need to go through them to make sure ALL my procedures will be covered. So I am waiting now for her to submit paper work to my insurance. I still have to have a psych evaluation, and meet with a surgeon, I guess that will happen next upon approval..... I Guess !!! :wacko:

Share this post


Link to post
Share on other sites

I called my insurance company and ask for the requirements first. Then I called and scheduled an appointment with my primary care doc and the surgeon. So insurance had only 4 requiments and the surgeon has a few of his own.

Insurance required: Pych eval, 6 month diet supervised, I must use a "center of ecellance" facility, and since my BMI was below 40 I needed to have at least 1 co-morbility.

Surgeon required: (He determined these at the first appt.)

Endoscopy

Test for sleep apnea

Pulmanary testing (heart stress test)

I just tried to get all of them out of the way.

It is co confusing for me at times because I have 2 Insurance carriers and when I started I had just the one, but now I have 2 and the new one is now my Primary, and I get so confused. I have been meeting with my Dr. and Dietitian, and have finished that requirement. No the referral coordinator is sending paper work into insurance I don't know if that's for surgery approval, or just approval to see psych dr. I am getting overwhelmed, I need to find my zen and just relax and hope al turn out good, I am getting to anxious, I am losing my patience too, and I know dealing with insurance companies, these things take time, it's not gonna happen over night, now the thing is getting that thought to stay in my brain, and just relax...Lol :D

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

    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 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

    ×