Question About Approvals

[Pinky Green 260]

I finished the 3 weight loss management classes in 3 months, the Nutrition class, the cardiac clearance, the psych evalution, all the bloodwork and got a recommendation and clearance letter from my PCP. Now I just have to do the Endoscopy and the Colonoscopy. I am doing that tomorrow and the paperwork on my procedure says that it takes 10 business days to get the results from them. Question - is the endoscopy and colonoscopy required by the insurance usually or is it a requirement of the surgeon so he knows what's going on there before the surgery? In other words, am I ready for them to submit to insurance for my approval or will I have to wait for the Endoscopy/Colonoscopy to get insurance approval? I have Cigna if that makes a difference.

[neener 8]

I'm not sure because I'm just starting, but I have Cigna too. So if you could keep updating on how your approval process is going I would really apperciate it! Good luck and I hope everything goes well and quickly for you!

[ibehere10 163]

I have Personal choice and the only thing they wanted was a bmi over 40 and a psyche eval. My surgeon insisted on a sleep study, full cardiac workup, endoscopy. PC approved me three days after the information was sent to them on the psyche eval and bmi. Scheduled for surgery on Sept 10th!!

[mufasas-mom 170]

Best bet is to call the insurance company yourself and get a list of all their requirements prior to starting out - that way you know exactly what needs to be done to be approved through your insurance company. However, your surgeon may have other tests that need to be done, and you should check with his office to see what his requirements are - then check with the surgeons office and ask if they will hold off sending you in for insurance approval until all the testing is done or just all the testing that is required for your insurance. Mine waited till all the testing was complete (insurance required and surgeon required) before submitting it to final insurance approval.

[Gonnabeslim1day 80]

My surgeon required a psych eval,upper gi,colonoscopy, and blood work. My insurance was the one that required the 6 month diet program.