Can someone in the NYC/Westchester area refer my to their Psychologist that did their Evaluation and that takes Aetna. The NP at my WLS group referred me to one but she does not take my insurance and its $160. They did tell me I could use someone else as long as they can do the evaluation and write the letter for the insurance company. I am not sure if i should use the person referred by my WLS group, as i am sure she has the upmost experience in writing the referals or go with someone else that would be covered by Aetna. I dont want to screw myself over and get denied this procedure by the insurance company either:cursing:

Can someone in the NYC/Westchester area refer my to their Psychologist that did their Evaluation and that takes Aetna. The NP at my WLS group referred me to one but she does not take my insurance and its $160. They did tell me I could use someone else as long as they can do the evaluation and write the letter for the insurance company. I am not sure if i should use the person referred by my WLS group, as i am sure she has the upmost experience in writing the referals or go with someone else that would be covered by Aetna. I dont want to screw myself over and get denied this procedure by the insurance company either:cursing:

This sounds ultra confusing....my hospital has a whole program you must go through and a phsych eval is all part of that. I have not had to pay for anything required before surgery. BUt I do have Aetna and was approved yesterday for the surgery so if you have any q's I'd be happy to help.

I don't live in NYC, but I do have Aetna. When I went to the seminar sponsored by the doc who did my surgery, a sheet was passed out afterwards that gave the names and numbers of people who did the nutritional and psych

evals. I had to pay for the nutritional eval in full, but the insurance covered all but $100 dollars of the psych eval. We could all have the same insurance, but the specifics could be different.

I think I will call my insurance company and the psych reffered by the hospital to see if I can get reimbursed. I dont want to pull out money I dont have to. But on the other hand I dont want to mess up my chances of being approved by Aetna either over this.

I also needed to do a psyc eval and my surgeon had recommended someone that they use. He too was out of network with my insurance and I didn't want to pay the $350 fee that he charged so I contacted my insurance, UHC, and saw someone in network. I met with him 2x and all I paid was the copay. He wrote the letter for me and submitted it to my surgeon and to UHC and I was approved and my surgeon was fine with that.