What Are The Final Insurance Steps Like?

[heartonmysleevey 133]

Hey Everyone!!

So, I have a minor dilemma. I have my consult on the 28th. I know that my surgeon will ask for pre op test like blood work, ekg U/S of my abdomen and EKG. That means I have to go to my PCP and request all of those. Well, she isn't very cooperative with anything I ask for. ( really really long story). Then I would have to go back to my surgeon for my pre Op appointment.

Now, my question is, Do I need another referral to go back to my surgeon for my next appointment? On my referral paper it say it is for a consult only. But if my surgeon asks for all of these test and they all come back clear and he believes this surgery is medically nessacery do I have to got through the referral process all over again. ( i was first denial by my medical group for a consult. Then I sent a appeal to aetna with all records and papers and they approved my appeal and I won for a consult)

Second question is, for all of my pre op testing should I or can I go to another pcp within my medical group and ask for these tests? I dont want to jeopardize any chances or timing with all of this. Im affraid the my now PCP will give me a hard time about these test. Can I get a written request from my surgeon for these tests?

SO far I have done:

6 month supervised Diet

seminar

support group

Psych evaluation

Upper GI

What I have left:

Full panel blood work

EKG

U/s of abdomen

chest xray

Thank you guys so much for your responses and advice. With what I have went through, I am traumatized but everything my medical group has put me through. So scared to make any wrong moves.

Thanks again xoxo

natasha

[heartonmysleevey 133]

Just called my PCP's office. I dont need to go in to get the orders for the tests. My surgeons office just needs to fax over the request.

Thank God!