Pcp Letter Of Medical Necessity

[Ready4success 380]

Hello everybody,

I was wondering if anyone can tell me what needs to be in the PCP letter for insurance purposes. I want to make sure it's appropriate for approval the first go round. Also, my PCP has some reservations about the sleeve, but not the band. She keeps trying to talk me into the band, so I've just started mentioning that I'm planning to forward with weight loss surgery, and not mention what type specifically. Can the letter say just weight loss surgery, or does it have to say what type of surgery specifically?

[Ready4success 380]

it helps if the letter is specific' date=' since the insurance company wants you to play by their rules.

As for your doctor... I'm sure a few of us here can get you a list of reasons why the sleeve is far superior to the band...[/quote']

Thanks, Ben. My PCP is a little Asian lady, who probably wears a size 0-1. She thinks the sleeve is too drastic, but she refills my bp and diabetes meds every 3 mos. If that doesn't signify that I need something drastic, I don't know what does.

[joyful noise 101]

My surgeon's office gave us a "Model" letter for our PCP to use. He ( I think it might be a language barrier thing) wrote on my letter gastric bypass.

I have my physical due this month. I have photocopied his letter, making the changes for the sleeve.

Since my last nut meeting is this month, I want everything in order, pcp letter, too.