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How does this work?

mrucker

By mrucker, in Insurance & Financing

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mrucker    0

mrucker
Posted

I'm in the last month of my 6 month supervised thing with my primary care physician (PCP). I've already sent all of the paperwork to my Bariatric people, and I'm awaiting my first consult with them. Here's my question: How does this work from now? :unsure:Do I ask my PCP to give me all of the records from my 6 month visits or does the insurance contact them and get the records from them on their own? He has written me a letter of recomendation, stating that he has supervised me for the 6 months, but do they need the records of that too?

If anyone has any experience, please help! BTW, I have HUMANA Insurance.:thumbup:

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PATCHELTON    0

PATCHELTON
Posted (edited)

I don't know if everyone does it this way, but I can share what I did. I used the dietician on the bariatric team to supervise my 6 month diet. I am assuming, since the surgeon's office submits for your preauthorization from insurance, that they would need the documentation from your PCP, and the letter, and they submit everything as a package to the insurance. If you haven't seen the surgeon for your consultation yet, I would get copies of everything from your PCP (you usually have to get records from the PCP for the surgeon anyway), make a copy for yourself, and take the records with you to the surgeon appointment. If the surgeon requires any testing (I had an echo and stress test) they will tell you and you would request that those reports go to both your PCP and the surgeon. When the surgeon has everything, his office will submit you for approval. They will tell you what all you need. And if your insurance requires referrals you will need one for the surgeon, the psych evaluator, and the dietician, plus any tests they order. Good luck!

Edited by PATCHELTON

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emily111    3

emily111
Posted

you can call your surgeons office and ask them.. but what I had to do is get all the paper work and the letter from my doctor and bring it to the surgeons office. So make sure your PCP wrote the letter get the 6 month notes and have them ready to bring with you to see your surgeon :tongue2:

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
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      1. LeighaTR

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

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