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FEP Blue - Basic questions

kellykazoo

By kellykazoo, in Insurance & Financing

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kellykazoo    3

kellykazoo
Posted

Ok...so I went to the mandatory orientation today at the facility I plan on having a gastric bypass at. If I understand correctly, FEP Blue requires 6 months from the start to the surgery. My question is, when does that 6 month period begin? I went to my family doctor three weeks ago to try to get the ball rolling and have my weight documented, along with the desire to have WLS. I have to have a phone meeting with the director of the facility next Friday, and after that phone meeting, I can set up a meeting with the surgeon.

So, my question is will the 6 months start at my dr appt a few weeks ago, the orientation today or the appt with the surgeon?

Thanks!

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Cervidae    2,389

Cervidae
Posted

Generally the documentation begins with your first doctor visit at the center you are having the surgery. Some insurances will take primary care physician data, but usually, in my experience, it starts with the bariatric center. Good luck to you! Keep us updated. I know 6 months seems like a looooong time but I had about a year between my decision to look into surgery and about 8 months from when I first went to the required seminar at my bariatric center. And 8 months, in retrospect, went by insanely fast. I am now 4 days post-op and I am still feeling a bit surreal that it has happened, the surgery is over, and I'm now beginning my new life. Hope this helps. :)

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

Fepblue is not 6 months, it is 3 months

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

I am not sure when you date would start. Is your physician doing your nutritional counseling? If so that may work. It has to be a complete 90 days. I have FEPBLUE basic. My 1st appt June 3rd, 2nd July 15th and 3rd was August 8th. I have go weigh in on September 3rd and that will make 90 days.

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kellykazoo    3

kellykazoo
Posted

Fepblue is not 6 months, it is 3 months

oh my goodness, oh my goodness, oh my goodness! You just made my day!!!!! Jumping up and down!

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

Fepblue is not 6 months, it is 3 months

oh my goodness, oh my goodness, oh my goodness! You just made my day!!!!! Jumping up and down!

Lol! Glad I can make someone's day! Just refer to the fepblue book u can see it online. Follow those guidelines and u should have no problems!

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RNYDawn    160

RNYDawn
Posted

@ do you know what the co-morbidities are? I looked on the site & found only a few. I didn't see GERD...boo.

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

GERD is even if it's not listed. At least that is what my NUT told me. I am being revised because of it

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RNYDawn    160

RNYDawn
Posted

GERD is even if it's not listed. At least that is what my NUT told me. I am being revised because of it

Thank you (again) ????

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kellykazoo    3

kellykazoo
Posted

Approved!!!! So excited! I hoped to set surgery up today, but the scheduler was already gone from the office.

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RNYDawn    160

RNYDawn
Posted

@@kellykazoo how long did your approval take? They have had my package for six days (including today) and I know they have 15 but I am going crazy! LOL

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RNYDawn    160

RNYDawn
Posted

Never mind, I just got the call from my coordinator that I was approved!! It was approved in five days! WOOOHOOO!

Keenikwe reacted to this

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