Initial Visit With My Insurance Nurse Tomorrow Via Phone Consult

[mufasas-mom 170]

I have my phone consultation with the bariatric resources services covered by United Healthcare - Core. I have a few questions for her like the psych eval on the form i received from UHC with my checklist - it states i have to contact United Behavioral Health - so does that mean i also have to do one at True Results?

I am also going to double check the requirements so i have the correct checklist and do not have to do any unnecessary testing.

In Network issues and such...

Can you think of any questions that i should ask the insurance nurse?? something that came up with you and you wish you would of asked ahead of time so you would not of been surprised/shocked?

thanks....

[RaleighGal 4]

I have United Healthcare as well, if you are talking about the same program I had through them...it is great! I had a nurse that checked in with me before surgery (during my 6 month wait period) and asked me lots of questions and kept me on point. I even called her several times to ask questions about the surgery, process, insurance coverage, etc. After surgery, I was paired up with another nurse to make sure I was healing ok and had no signs of infection. They called every few weeks. I had surgery in November, and still talk to my bariatric nurse about every 4-6 weeks.

When are you looking to have your surgery? In regards to the psych evaluation, I had to call the Behavior Health number as well and they gave me a list of providers. I just called them and found one who does the pre-bariatric surgery visits. Prepare to pay an extra amount to have the report sent to your doctor.

Feel free to email me with any more questions. Good luck to you :-)

[mufasas-mom 170]

thanks so much for the reply. I had knee surgery a year ago and dealt with the nurses online and such and they were terrific. I'm wigging out because I am going through True Results and they assigned me a surgeon, however that surgeon is In Network, but not the facility he performs the surgery at - so I am going to ask the nurse tomorrow my main questions about coverage and such to ensure that I'm going to the right surgeon and facility that's In Network as i've already met all my deductibles (thanks to kidney stones). Worried that True Results keeps saying they accept Out of Network and at the end I'm going to pay out the wazoo. Guess i'll find out all my answers tomorrow.

when you said expect to pay an extra amount to have the report sent to the doctor - do they even give you a copy of the report?

thanks again - was trying to find someone with the same insurance....

[honk 780]

I would not have surgery at a hospital out of network! Out of network usually means at least 20% more is out of pocket. Also I have heard of situations where people have to pay the anastesiologist out of pocket because they are out of network! Get a surgeon and a hospital that is in network.

I once went to the emergency room and even though the hospital was in network the doctor who saw me was not. I had to pay a lot because of that. You don't get to ask the doctor in the emergency room "are you in my insurance network

?"