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

approval without letter of necessity



Recommended Posts

Hi everyone! Completely new here! I just wanted to know if anyone else was having a hard time getting the letter of necessity from their pcp? I have United health care and I asked the surgeons office to submit the insurance packet without it (doing that today keep your fingers crossed) but I wanted to know if anyone else has had issues getting the letter and if there's a chance for approval without it?

Share this post


Link to post
Share on other sites

My insurance (cigna) denied til they received the letter from my pcp. Not sure about others. Good luck!

Share this post


Link to post
Share on other sites

My doctor (PCP) was very compliant. He wrote that it was a medical necessity. My insurance needed that letter before I would be qualified.

Also, my BMI was 40.5 when I started my BMI is 32.6 now if I calculated correctly. I was borderline on the BMI factor so I was sweating it out but my doctor got that letter into my insurance right sway.

Share this post


Link to post
Share on other sites

My PCP wasn't initially supportive but then my Cardiologist actually asked me if I ever considered WLS so I told him I have & very seriously recently but my PCP seemed less then in favor of this route. So he put in his notes that he discussed this as a viable option for me. I then went back to PCP & she sang a different tune!!!

Share this post


Link to post
Share on other sites

My PCP wasn't initially supportive but then my Cardiologist actually asked me if I ever considered WLS so I told him I have & very seriously recently but my PCP seemed less then in favor of this route. So he put in his notes that he discussed this as a viable option for me. I then went back to PCP & she sang a different tune!!!

Great Post! This just goes to show, there are many ways to overcome a less than supportive PCP.

Share this post


Link to post
Share on other sites

Does your PCP just not want to give you one? That totally sucks....is changing PCP's an option? It just seems so ridiculous for him/her not to give you the letter......I'm so sorry :(

Share this post


Link to post
Share on other sites

My insurance (cigna) denied til they received the letter from my pcp. Not sure about others. Good luck!

Ditto

Share this post


Link to post
Share on other sites

My pcp told me "if I drop you in the desert for 10 days and don't feed you you'll lose the weight..so I don't think you'll need the surgery" ugh he's a butthole

Share this post


Link to post
Share on other sites

I went with a new pcp when I was going through the process because the one I was with was unwilling to look at wls as a viable option. I also got a letter from my pediatric doctor (I was 23 at time of surgery) because he had been my Dr throughout childhood and had watched me struggle as a teen to lose weight with no avail.

If your Dr who you're paying is unwilling to ve supportive in the way you wish, hire a new one.

Share this post


Link to post
Share on other sites

Your PCP doesn't sound very supportive, they sound like a total ignoramus! If you aren't able to get their support you really should find someone who will! Good Luck!

Share this post


Link to post
Share on other sites

I am also in the same boat my pcp was very nadty towards me treated me like a child so i found another pcp i see them in aug i hope to have the surgery by jan 2014

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

    • 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!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×