Physical Therapy Evaluation?!

[Pana'sNewStart 68]

After weeks of waiting on pins and needles to hear back from the insurance company, I get a call today from my doctor's office and the insurance is requiring a physical therapy evaluation? I've never heard of this. I was right there, too... So, now I have to go to another doctor appointment and start the ins. approval waiting all over again. I'm so incredibly frustrated. I know if I get approved, I won't care what I had to go through, but right now, I'm incredibly discouraged

[cheryl2586 3,053]

Awe it will come for you. You just have to see the end result to keep you going. It will go faster then you think.

[CHEZNOEL 4,061]

The PT eval could be to help design an exercise program for you. There are worse things. Keep the faith.

[Sojourner 2,446]

After weeks of waiting on pins and needles to hear back from the insurance company, I get a call today from my doctor's office and the insurance is requiring a physical therapy evaluation? I've never heard of this. I was right there, too... So, now I have to go to another doctor appointment and start the ins. approval waiting all over again. I'm so incredibly frustrated. I know if I get approved, I won't care what I had to go through, but right now, I'm incredibly discouraged

I've never heard of this pre op requirement either. I'd certainly be asking additional questions of both your physicians's office and your insurance company as to inform you of the rational and medical necessity of this evaluation prior to moving forward in your insurance approval process.

Insurance companies are not infallible, so that which I don't understand I do question...Don't feel discouraged...be patient. All good things are worth waiting for...good luck!

[Maddysgram 6,159]

I would think they were talking a psych eval?

[Pana'sNewStart 68]

Hey guys, thanks for your kind words of encouragement. I was able to get a PT appointment for tomorrow. I asked the Physical Therapist if this was something they were used to and she yes, that almost all insurances are now requiring a PT evaluation to make sure you have full mobility, can walk, and will be able to do some type of exercise after being banded. I was able to go to the same hospital to do the eval that my surgeon's in so I'm hoping this will cut down on the time it takes to get the report back to the dr. so they can resubmit everything to the insurance. I'm really hoping to have an approval by the end of Nov... Waiting. That's the hardest part of this whole process.