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

Insurance Approval or Doctor Selection First



Recommended Posts

I'm a newbie, but have done extensive research here and elsewhere. I have a consultation with a doctor set up for several weeks from now. I have heard how insurance companies can drag their feet and want to get everything together that I can in order to expedite.

I called my insurance company (United Healthcare) and got their requirements for my policy:

BMI over 35, comorbidity, 5 year history of weight problems.

My BMI is closer to 45, I can collect a 5 year history and may or may not have what they consider a comorbidity.

Question is do I gather and submit this info to the insurance company prior to settling on a doctor (though I think I have). Or, does the surgeon's office have to do all of the submitting.

Will someone kindly tell me how that works?

Thanks!

Share this post


Link to post
Share on other sites

My surgeons office is the one that has handled asking the Doctors for necessary paper but I went on my own and told them to give me copies just to be on the safe side , so when I use to go visit my surgeon I had the paper work incase they had not recieved it, Now I am waitting on my insurance approval :(' Good Luck

Share this post


Link to post
Share on other sites

I'm a newbie, but have done extensive research here and elsewhere. I have a consultation with a doctor set up for several weeks from now. I have heard how insurance companies can drag their feet and want to get everything together that I can in order to expedite.

I called my insurance company (United Healthcare) and got their requirements for my policy:

BMI over 35, comorbidity, 5 year history of weight problems.

My BMI is closer to 45, I can collect a 5 year history and may or may not have what they consider a comorbidity.

Question is do I gather and submit this info to the insurance company prior to settling on a doctor (though I think I have). Or, does the surgeon's office have to do all of the submitting.

Will someone kindly tell me how that works?

Thanks!

Hi, I would focus on choosing a surgeon. His or her office will gather the info for you but they will appreciate your help in telling them where it is. All the best to you!

Melinda

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

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • 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

    ×