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

Recommended Posts

I went to see my PCP today and asked for the recommendation and support letter for Bariatric surgery. She looked extremely confused:( this made me nervous. I told her that I am looking to have the surgery done and that I have already started the 6 month program. She said ok but asked why do I need a letter and what is she supposed to say. Luckily I took the sample letter with me. She then copied it and said I will get the letter to them when I get a chance... I'm confused but glad that she said she would... Also we reviewed my blood work..Vitamin D is low and I have High Cholesterol but not enough for meds yet.

Share this post


Link to post
Share on other sites

Had you ever discussed it with her? I know my PCP and I had spoken of it about 13 years ago at that time her nor I felt it was something I wanted to do. But went I brought it up this time we both felt now was the time based on the fact that my medical issue were not changing.

Share this post


Link to post
Share on other sites

This was my 2nd visit to this PCP but my actual 1st visit with just her. The initial visit she had a resident take my history information. I did tell her about weightloss attempts and that I was considering Bariatric surgery however I don't think that the resident put any of that information in my chart. But I'm confused about the PCP being confused on how to write the letter etc. She seemed to be on the same page and agreeing how WLS can help me all until I said Letter.

Share this post


Link to post
Share on other sites

Does your insurance require a recommendation from your PCP? Mine didn't. In fact, when I told my PCP I was going to have surgery she gave me a recommendation as to whom she had interaction with, but no letter was needed.

The problem I ran into is her preferred hospital wasn't my insurance preferred surgical center.

Share this post


Link to post
Share on other sites

according to my surgeon my pcp sends a lot of his pts there and getting a letter wont be difficult my insurance and surgeon require this letter. but i am getting super close to getting my date next month is 6/7 and then all i have to do i get blood work chest x-ray and get my ekg to my surgeon

Share this post


Link to post
Share on other sites

My insurance and the Bariatric office requires the letter. I really hope that she can get the letter done and the right way as soon as possible. I still have to complete the 6 months which I started on 1/21.

Share this post


Link to post
Share on other sites

I had to get the PCP letter too. Considering I had used Patient First as my PCP for about 8 years, I was a little nervous! :)

My surgeon's office referred me to a wonderful PCP that is right down the street from me and I made an appointment with them before my insurance clock started ticking. I got a flu shot had them do my EKG, talked to the doctor about my attempts at weight loss and said that I was in the beginning stages of the weight loss surgery process. I said that I'd need a letter of recommendation from her if she was comfortable but understood if she wanted to see me more before she wrote it. She laughed and said she'd do whatever I needed. She had to do the recommendation letter as well as a medical clearance letter right before my approval was submitted.

Share this post


Link to post
Share on other sites

I did tell her that I would need another letter for clearing me for surgery. It just seems like this PCP is not familiar with the WLS process

Share this post


Link to post
Share on other sites

I imagine her confusion was due to the different requirements in insurance companies and surgeons. My surgeon required me to see my PCP and get my height/weight stats faxed to them prior to scheduling my initial appointment. My PCP was confused about only needing the stats, and she wanted to write up a whole essay on why I needed the surgery. haha

Share this post


Link to post
Share on other sites

@@Rainy Days it seems that every insurance company is different and some can have the same company but live in a different state which would make requirements different as well. Lol

Share this post


Link to post
Share on other sites

It's called a medical necessity letter. Most docs will write one with no problem.. my PCP charged me 18 bucks tho...

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

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 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

    ×