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

feeling defeated- any suggestions


pyt1908
Sign in to follow this  

Recommended Posts

I have UHC- empire plan. After visiting a number of surgeons, attending a plethora of wls support groups, I thought I finally found a wls surgeon that I wanted to proceed with. I went to my 1st mtg prepared with 6 month notes of weigh ins and diet attempts from my primary care dr. To my dismay and shock, the patient coordinator told me that the notes would not get me approved for the sleeve. This was perplexing as the notes indicate my health problems. I have done 1 year of weigh ins. the pc stated that I needed to detail food logs and nutrician plans and more information. this patient coordinator explained that I would have to do 6 month vistis with the nutritionist- basically weigh ins all over again! I dont mind seeing the nut; in fact, i welcome this. However, it would be the same price if i go to see the nut once or 10 times, so why make me go through this process again? then to add insult to injury, the pc will not provide me with a real sample template.

I feel defeated.

anyone with some suggestions? maybe pointers on the letters they submitted?

Share this post


Link to post
Share on other sites

I have UHC- empire plan. After visiting a number of surgeons, attending a plethora of wls support groups, I thought I finally found a wls surgeon that I wanted to proceed with. I went to my 1st mtg prepared with 6 month notes of weigh ins and diet attempts from my primary care dr. To my dismay and shock, the patient coordinator told me that the notes would not get me approved for the sleeve. This was perplexing as the notes indicate my health problems. I have done 1 year of weigh ins. the pc stated that I needed to detail food logs and nutrician plans and more information. this patient coordinator explained that I would have to do 6 month vistis with the nutritionist- basically weigh ins all over again! I dont mind seeing the nut; in fact, i welcome this. However, it would be the same price if i go to see the nut once or 10 times, so why make me go through this process again? then to add insult to injury, the pc will not provide me with a real sample template.

I feel defeated.

anyone with some suggestions? maybe pointers on the letters they submitted?

first I would contact my insurance and make sure that the info from the PC doctor is acceptable. Get that in writing and take it with you to the surgeon or find a new surgeon who is wiling to try to file. Give them the argument that the worst that could happen, is the insurance denies and says you have to do it through the nutritionist. If they accept, then you are all set to go on. Good luck.

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
Sign in to follow this  

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

    • Doctor-Links

      HGH For Sale
      hgh for sale at our online pharmacy
       
      Human growth hormone (HGH) is a small protein which is made in part of the brain called the pituitary gland. It travels in your bloodstream all over your body to make your body grow.
      HGH is very important in the body. It is needed for children to grow normally. It helps make sure there is enough muscle and fat in the body. It keeps our bones healthy.
      Buy Rybelsus online, Rybelsus tablets
      You can order for wegovy at our online pharmacy
      Check for the prices of 0.25mg, 0.5mg and 1mg at our online pharmacy and buy ozempic.
      · 0 replies
      1. This update has no replies.
    • Doctor-Links

      hgh kaufen  in unserer Online-Apotheke  
      Menschliches Wachstumshormon (HGH) ist ein kleines Protein, das in einem Teil des Gehirns, der Hypophyse, produziert wird. Es wandert in Ihrem Blutkreislauf durch Ihren ganzen Körper, um Ihren Körper wachsen zu lassen.
      · 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

    ×