Quick question....

I've just started my process and have only seen my PCP and the bariatric dr. that I will be doing my procedure(I've only been to see him once) my insurance requires a 9 month pre-op and I'm now receiving bills from my PCP which I've never had a problem with caresource covering. I'm wondering if my doc saying anything about bariatric anything in the submissions to insurance is causing them to deny those visits. Should I count on paying for those visits or should I contact my insurance and see why they are denying?? So confused!!

TIA.

Edited May 25, 201511 yr by Debbie_downsizing

Does your insurance require a referral? You may need that from your PCP. If it doesn't I would contact your insurance provider and find out what the problem is now before you get slapped with unnecessary charges. Check the insurance forum there, they may have more answers to your specific insurance provider.

I'm just starting my journey as well. I have care source of Ohio and they will approve my surgery after 9 months. I did have to have a referral and pick a preferred dr who takes care source. I'm going through the fresh start program at Riverside.

Oh Caresource of Ohio. I work with them daily as that's the insurance almost all my clients have. So many problems. Good luck to you. Document everything and keep copies.

Have you had a lot of denials? I won't know if I get approved for my process until my 9 months are up. My pcp said based on my bmi only I would be approved. Then add all my other issues he said I should get approved.

Hi! I am on caresource and in the process of getting the sleeve. I'm 6 months in on my appointments of today. I should find out when I'm having surgery sometime in January. I also needed 9 months. Cardio and pulmonary clearance too. Bmi has to be over 50 I think. I go to UC West Chester. They are great. Love them. Not sure where you are. I didn't need a referral either.