Stupid PCP

Hope4Jen · November 12, 2004

I have been waiting a week now for my pcp to write my insurance company a letter of consent. The first one he sent them was a faxed copy of a prescription and all it said was "Ok for surgery". Can you believe that crap?? I called yesterday and his nurse said she would check and call me back...havent heard didly.

Should I call today and nag them? My insurance company is changing and I have to have this done by the end of the year!!

Hope4Jen · November 12, 2004

Update!!

I called and his receptionist is a Biznotch! She is all "you gotta be seen for him to write it"...I started complaining that no one told me this and she says "oh, I see that he has dictated a letter but its not back from the transcriptionist"....I ask how long that takes...she says she will leave a message w/transcription and have them rush it for me @@. She is prolly just telling me that cause I was MAD!

I am so frustrated.

New Hope · November 12, 2004

Jen, please try to stay on good terms with your PCP and his office. They are vital in helping you. Are you positive that your insurance company covers the adjustable lapband procedure?

My PCP closes at noon on Fridays. I know you're in a hurry to get this done, but you need to take time to research and learn as much as you can about it before getting one!! My insurance initially denied my claim, I appealed, and 8 months later got my band. But they're all different. Best of luck to you!

Hope4Jen · November 12, 2004

Yes, I am sure they cover it. My surgeons bariatric coordinator said that my insurance basically approved it but they need a few things first such as the letter for a final say so. She said as soon as I get the letter I should have a surgery date a few days after.

I dont care for my PCP anyways. Last time I seen him I called and told them my ear hurt and I had a few other things to discuss with him. Just a small list of concerns, nothing major and he refused to talk to me about my knees cause they only fit me in for a 10 minute time slot. He told me to make another appt...didnt even say he was sorry...just rushed out of the room. I cried all the way home just becasue I felt like he didnt care. I had no idea they put their patients in a time slot.

babsyintx · November 12, 2004

Jen,

If you go to www.obesityhelp.com you can get a letter of medical necessity where the doc only has to fill in the blanks. Thats what I gave my PCP and told him to use that letter and just add whatever else he felt was relevant. The problem is the doc

s dont do their own correspondence and unless you make it easy for them, it will take more time than you want. Just a suggestion...

Babs in TX

334/190/170

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