Insurance approved my Dr & now they change there mind! and want to send me out of state!! need advice

[Jenmomto3 0]

So the bariatric Dr my primary referred me to was approved. so i drive 2 hrs away from my home attend there seminar & drive 2 hrs back. just to find letters from my inurance saying i meet the criteria for surgery BUT i don't need to see Dr. Bright we'll approve for you to seeing Dr. Pennings in another state!!! that's insane!! and they want me to there 12 week diet for 12 months first!! WHAT?? i don't understand.

HOW DO I FIGHT THIS!!!??

jen

[MelindaH 3]

So the bariatric Dr my primary referred me to was approved. so i drive 2 hrs away from my home attend there seminar & drive 2 hrs back. just to find letters from my inurance saying i meet the criteria for surgery BUT i don't need to see Dr. Bright we'll approve for you to seeing Dr. Pennings in another state!!! that's insane!! and they want me to there 12 week diet for 12 months first!! WHAT?? i don't understand.

HOW DO I FIGHT THIS!!!??

jen

As far as the diet requirement, there is probably no way to get around that. You may be able to appeal the decision to go out of state but there again, insurance companies pretty much call the shots. I think it is wrong but that is the reality and the new norm. The reason they want the supervised diet plan, I feel, is to make sure you are motivated to lose weight and can follow instructions.

I wish you all the best but one argument would be the cost of gasoline these days. Keep us posted.

Melinda

[Jenmomto3 0]

As far as the diet requirement, there is probably no way to get around that. You may be able to appeal the decision to go out of state but there again, insurance companies pretty much call the shots. I think it is wrong but that is the reality and the new norm. The reason they want the supervised diet plan, I feel, is to make sure you are motivated to lose weight and can follow instructions.

I wish you all the best but one argument would be the cost of gasoline these days. Keep us posted.

Melinda

thanks!!

[farmer2120000 1]

what ins co do you have?

[Jenmomto3 0]

what ins co do you have?

Group Health!!!

[Grider 92]

Your Doctors need to fight for you - specially your general dr

[Jenmomto3 0]

Your Doctors need to fight for you - specially your general dr

i see my primary on Wed & was wondering if i could talk to her about that!