Has anyone experienced your doctor's office lying about pre-surgical requirements?
I began the process by first calling my insurance provider and asking what was required for surgery. I was told only a letter from the doctor stating the surgery was necessary. I then scheduled an appointment with the doctor. During the call I gave the girl who handled insurance at the office my info from my card. I was then given a date to meet with her and the doctor. When I finally went to the doctor I was told that my insurance REQUIRED me to have 5-6 things done including sleep study, blood work, dietician visits for 6 months, etc. I was told the person I spoke to gave me incorrect information.
I met with the doctor and he was very nice. After the visit I went home confused and frustrated. I call my insurance again and once again was told of no pre-surgical testing. I really didn't have a problem with having test done as long as it was for the better but I was told it would be 9-12 months before surgery.
The doctors office called and scheduled my dietician appointments and blood work.
After about three months I had never heard my results from blood work. My calls were not returned trying to schedule my sleep study etc. I GAVE UP!
Yesterday I scheduled an appointment with another office that offered LabBand. This morning I met with Liz the insurance specialist at the office. She actually called the provider line and put them on speaker phone with me in the room. She asked "What pre-surgical testing was required?" Guess what - Other then a letter from the doctor - NOTHING WAS REQUIRED. No dietician appointment for 6 months, no sleep study, NOTHING.
She looked at me and was confused because I had THOUSANDS of dollars of testing and visits that were not required. I was told my 8 months to surgery was more like 8 weeks now. I feel like I was totally lied to and taken advantage of. I know of another person at my company who was also having LapBand done was told by the same office that all these test were required by our insurance. Money making scheme? Insurance rip-off?
Just wanted to know if anyone else has experienced this?
I learned several things - call insurance, I even called the provider line. Call several times and talk to different people. Take the names of the people you have talked to. If you have the ability check with other doctors in you area and speak with their insurance specialist. They are more then willing to talk. It's YOUR money and YOUR insurance.