6 Month Pre-Op Weight In.

[NisaletOAM 48]

So I was wondering my PCP is a good guy and he told me just to stop by the office and weight myself in every month and he will keep the record but is doing me a favor and not charging me for the visit. has anyone had this situation will that cost me trouble with the insurance company I'm so scare to get denied for any little thing any advise guys... I had my second weight in yesterday and this came to mind any advice would be appreciated

Thanx!

[Pennie 66]

I would review your insurance requirements and just make sure this will satisfy their criteria. Some insurance programs require more than just monthly weigh-ins... they require evidence of nutritional counseling, support, etc.

Have you been working with your surgeon's office on getting your insurance approved? Many surgeon's offices have an insurance specialist that can help make sure you will meet the criteria of your insurance plan. I'd hate for you to go through these 6 months and then get denied because you missed something!

What you are doing might work, but without knowing your insurance plan or being an insurance expert myself, I can't say for sure. Now is the time to make sure!

[NisaletOAM 48]

Yes, when I went to my surgeon they told me that my insurance would take 6 month the person tha handles the insurance told me that I needed to get my weight in every moth for 6 moth, the surgeon has a nutritionist on site and I did have a consultation with her and I need a psych evaluation. My insurance policy state that I mus have a BMI of 40 or greater and that I must have actively participated in non-surgical methods of weight reduction.

So I know I'm in the right track my PCP told me to try to lose 10-20 pounds in these 6 month we had a 2 hour conversation about the surgery and he just told me he would weight me in and for me to try and lose some weight but that I should not have a problem cause my BMI is 50.

so you see my question is more of does the insurance need to see if he is charging me for these weight in visits and consults or is it just ok for him to track it without charging me. I wouldn't want to get denied for a little thing like that.

But thanx for the advice i'm going to speak with the insurance coordinator

[kczar 166]

Yes, definitely call the insurance coordinator. Or you can call your insurance company direct. I called mine three times to make completely sure I understood exactly what they required. It sounds like you're doing all the right things but the last thing you want to have happen is to get to the end of six months only to find out they want more information.

Good luck!

[suthern_girl2012 5]

Yea call the insurance..I was required to do 6 months evaluation, pyshciatric eval. They sent my med recds for the last 5 years.

It's mainly about documenting... Who is your Bariatric doctor...they could better advise you than your PCP.

[NisaletOAM 48]

Thanx guys, my surgeon actually recommended my pcp to me because my other doctor was not working for me so everyone is collaborating together hopefully all will go smooth.