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

Need Psyhcologist under Aetna to do my Evaluation in NYC



Recommended Posts

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:

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

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

    • 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.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 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

    ×