I receieved an email back from MSI in Novba Scotia asking if the Lap Band is covered and what constituse it being covered ( any certain conditions or BMI) and teh email back is as follows:
I am able to advise lap band surgery is not listed as an insured service under MSI.
Therefore, in order for any costs to be paid for this surgery, your specialist physician has to request prior approval from MSI.
All physicians are aware of the necessary process in writing to our Medical Consultant outlining the details for prior approval. At that time a response letter is forwarded to the specialist, who in turn would advise you of the outcome.
I am not privy to what criteria is reviewed as each case has to be determined on a individual basis.
I trust this is helpful.
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My question is does the letter to MSI have to come from The surgeon preforming teh lap band like Dr.Beausoiel or my family doctor??
Also Dr.Beausoiel wouldnt have my full medical condition that contributed to me seeking a referel from my family doctor to see him.So would he tell MSI why I would need this surgery based on his finding or findings in my medical chart from my family doctor??
What worries me is I have only seen my family doctor for 9 months. He isnt a doctor to care about ones weight and says keep walking.
Since I gained this weight I had been put on anti depression medicine and had my gall bladder out. I am on Domperidone and Pantoloc for stomach problems and gastronal relux issues and bowel issues. I have irregular periods and very long periods. In Ontario my old doctor told me I had Polysystic Ovarian Syndrom but my doctors here cant find that........I am afraid that IF (as its a small town and not many peple have had it done here and he believes walking will do the trick) my family doctor recommends me he wont explain the reason as stated above why I need this surgery.......I think he thinks the weight is not the other problem to the conditions I have....................What do I do ?
Hello ,
I receieved an email back from MSI in Novba Scotia asking if the Lap Band is covered and what constituse it being covered ( any certain conditions or BMI) and teh email back is as follows:
I am able to advise lap band surgery is not listed as an insured service under MSI.
Therefore, in order for any costs to be paid for this surgery, your specialist physician has to request prior approval from MSI.
All physicians are aware of the necessary process in writing to our Medical Consultant outlining the details for prior approval. At that time a response letter is forwarded to the specialist, who in turn would advise you of the outcome.
I am not privy to what criteria is reviewed as each case has to be determined on a individual basis.
I trust this is helpful.
---------
My question is does the letter to MSI have to come from The surgeon preforming teh lap band like Dr.Beausoiel or my family doctor??
Also Dr.Beausoiel wouldnt have my full medical condition that contributed to me seeking a referel from my family doctor to see him.So would he tell MSI why I would need this surgery based on his finding or findings in my medical chart from my family doctor??
What worries me is I have only seen my family doctor for 9 months. He isnt a doctor to care about ones weight and says keep walking.
Since I gained this weight I had been put on anti depression medicine and had my gall bladder out. I am on Domperidone and Pantoloc for stomach problems and gastronal relux issues and bowel issues. I have irregular periods and very long periods. In Ontario my old doctor told me I had Polysystic Ovarian Syndrom but my doctors here cant find that........I am afraid that IF (as its a small town and not many peple have had it done here and he believes walking will do the trick) my family doctor recommends me he wont explain the reason as stated above why I need this surgery.......I think he thinks the weight is not the other problem to the conditions I have....................What do I do ?
Thanks,
Melanie