Physical Therapy Eval Why?

[NAK77BRR 8]

HELLO EVERYONE NEED SOME CLARITY ON PHYSICAL THERAPY EVAL.. I AM 2 MONTH OUT FROM BEING DONE WITH MY SIX MONTH DIET.. MY DR CALLED TELLING ME THE INSURANCE NOW NEEDS FOR ME TO DO AN PHYSICAL THERAPY EVAL.. WHY??? IM UNCLEAR ON WHY THAT IS NEEDED.. SO I FOUND A THERAPIST BUT NOW I NEED A REFERRAL , I HAVE A PPO PLAN.. REGARDLESS HE STILL NEEDS A REFERRAL. HAS ANYONE HAD THIS OR IS THIS A STALL BY THE INSURANCE.. I HAVE UHC.. THANKS IN ADVANCE

[Patienlywtng on my Curves 73]

Hi,

I would start with the insurance company, call to find out the requirements and if this is one of the stipulations. I would also call the Dr.'s office and ask for clarification.

Also most insurance companies have the information on their website so you can search for yourself as well.

I just hope he meant the psych eval. This isn't the direct answer you were looking for but I hope it helps.

~Lyn

[Rootman 1,101]

Well this is a new one for me. I've hard of the PSYC eval but PT eval? Seems like someone just wants to weed out potential claims before their committed to providing service. Just MHO.

Call the insurance and ask them why. We'd all like to know too.

[circa 333]

definitely interesting. That is a new one - unless the insurance company has put in a exercise and mobility option to show you how to get moving and do exercises at home early on - heck, that's a great idea.

[NAK77BRR 8]

I THOUGHT I HEARD WRONG TOO THAT MAYBE A PYSCH EVAL IS WHAT SHE MEANT IN WHICH I DID AND WAS CLEARED .. I CALLED THE INSURANCE SHE REALLY COULDNT GIVE ME INFO JUST THAT THE DR SUBMITTED AND IT WAS DENIED TO SEE WHAT WERE THE REQUIREMENTS BUT SHE COULDN'T TELL ME SO NOW IM JUST FRUSTRATED BEEN ON THE PHONE ALL MORNING TRYING TO GET SOME ANSWERS BUT GOT NO WHERE

[Pookeyism 1,143]

Go to your HR, and ask for your contact that deals specifically with your company plan. You don't need to explain why! Good luck!

[Pam2011 26]

The local bariatric program I am going through, Memorial Bariatric Service, requires a physical therapy assessment. Mine is next Monday. I think they do this so they can see how mobile a person is and that a person will be able to exercise pre & post op. I think it is a good idea. WLS along with exercise will help a person successfully loose and keep the weight off.

[NAK77BRR 8]

THANKS YOU GUYS FOR THE REPLY ..THE DR CALLED AND IT IS CORRECT PHYSICAL THERPY EVAL IS NEEDED FOR MY INSURANCE FOR THE SURGERY.. THE NEW REQUIREMENT CHANGE FROM DAY TO DAY SO IM JUST GOING TO SUCK IT UP AND MAKE THE APPOINTMENT. IM SO READY TO START MY NEW BEGINNING..

[audi920 0]

I have to go to one, too; but so far have no idea why. Someone said they might evaluate whether or not you'd be consistent or fit enough for exercise.

[Pookeyism 1,143]

It sounds like a good idea. take advantage of it!

[Pam2011 26]

I went to my bariatric physical therapy assessment appointment yesterday afternoon. She was very nice. Asked me questions about my activity level and if I had barriers from doing certain activities like bad knees and stuff like that. She went over exercises that need to be done in the hospital after surgery to prevent blood clots and then had me to write down my activity goals for after I had surgery. She calculated my ideal heart rate that would burn fat/calories during exercise and gave that to me and I told her I had a fitness watch so I now I know what to shoot for heart beat level to loose weight. She also had me to walk around the large room and she put a thing on my finger (can't think of the name of it) that measures your pulse, oyzgen level, and heart rate. My ozygen level wasn't as good as she would have liked so I have to go back in a month to have that rechecked. I think it might be cause my hands are cold alot and she said the same thing. It was about an hour long and interesting. I enjoyed going there and learning more.

I do think they do this to make sure the person realizes that after surgery and even before you need to exercise to loose the weight and it just isn't the surgery alone. They also see if a person is able to do any type of exercising. I've been doing 1 mile in 15min to walk to dvd or 2 miles in 30 minutes for the last few months. I have only been doing a mile the last few days since I messed up my left knee and am going to physical therapy for that.

[NAK77BRR 8]

thanks pam2011 that was good to hear thanks for the info . my appointment is today and i hope it go as well as yours.. i will keep you posted..

[Pam2011 26]

How did your pt appointment go yesterday?

thanks pam2011 that was good to hear thanks for the info . my appointment is today and i hope it go as well as yours.. i will keep you posted..

[NAK77BRR 8]

good morning it went really well..faster than i thought maybe 15 -20 min tops.. he ask my med conditions and why i was having the surgery ,check my range of motion and sent me on my way.. he was really nice and understanding willing to do what i needed to help me get this done.he said he would type it all up and send it to my surgeon by today .im so relieved now thats over which wasnt as bad as i thought . within a week i have my 5th weight in, then one more to go.. getting excited and scared all at the same time. thanks alot for the reply

[Pam2011 26]

Glad to hear your pt apt went good and he is sending in the paperwork quickly for you! That is great! Hope you get your surgery date soon!

good morning it went really well..faster than i thought maybe 15 -20 min tops.. he ask my med conditions and why i was having the surgery ,check my range of motion and sent me on my way.. he was really nice and understanding willing to do what i needed to help me get this done.he said he would type it all up and send it to my surgeon by today .im so relieved now thats over which wasnt as bad as i thought . within a week i have my 5th weight in, then one more to go.. getting excited and scared all at the same time. thanks alot for the reply