ThinnerMe2015 14 Posted November 6, 2014 Do the order you go see the dietitian, Psych Dr, & Surgeon vary according to which particular insurance you may have? I've noticed some people have taken their psych eval before meeting with surgeon, and some have met with their surgeon, before even being approved. I am really confused by that. Tell me do the surgeon submit the paper work to the insurance company to see if they'll pay for it, or do your Primary physician's office/Referral Department submit it? As for me the referral department is submitting paper work so I can see a Psych Dr. and I guess to see a surgeon as well. Can you tell me do the insurance company approve you before sending you for the Psych eval, and surgeon appointment? I need info please, lots and lots of info...... Share this post Link to post Share on other sites
SuzeMuze 338 Posted November 6, 2014 Everyone's insurance and order of appointments seems to vary, but for me I had all of my clearances done (including psych) before I met with my actual surgeon. (I had met his surgical partner, the dietitian and office management team who provided me with a very detailed binder/calendar of the whole surgical process and all the things I needed to have in place (psych, cardio, pulmonary, DVT scan, chest Xray, abdominal ultrasound & sleep study) before they would ask for insurance approval). The surgeon's office prepared and submitted the paperwork to my insurance company after choosing a "hold" date for surgery with me. Approval from the insurance company was the last thing I got before I went into surgery. Hope this helps. Share this post Link to post Share on other sites
zebra_print 9 Posted November 6, 2014 I met the actual surgeon already and still doing dietician classes. My psych eval is later this month so idk maybe it is insurance preference. The bariatric center assigned me an "advocate" and she set up every appointment needed for me. Not sure if the order is a big deal. Everybody may do it slightly different. Share this post Link to post Share on other sites
TimeToChange1621 5 Posted November 6, 2014 I think it depends on the facility. I went to a seminar at one hospital and the next step would have been to schedule a consultation with the surgeon. The hospital I am actually going to (due to my insurance), the first step is the seminar and support group, then appointments with the dietician, then psych eval, and then after everything is done I would meet with the surgeon. All depends on where you're going. I don't think it has anything to do with insurance, but I could be wrong. Share this post Link to post Share on other sites
Chrys2L 10 Posted November 6, 2014 I called my insurance company and ask for the requirements first. Then I called and scheduled an appointment with my primary care doc and the surgeon. So insurance had only 4 requiments and the surgeon has a few of his own. Insurance required: Pych eval, 6 month diet supervised, I must use a "center of ecellance" facility, and since my BMI was below 40 I needed to have at least 1 co-morbility. Surgeon required: (He determined these at the first appt.) Endoscopy Test for sleep apnea Pulmanary testing (heart stress test) I just tried to get all of them out of the way. Share this post Link to post Share on other sites
ThinnerMe2015 14 Posted November 6, 2014 Everyone's insurance and order of appointments seems to vary, but for me I had all of my clearances done (including psych) before I met with my actual surgeon. (I had met his surgical partner, the dietitian and office management team who provided me with a very detailed binder/calendar of the whole surgical process and all the things I needed to have in place (psych, cardio, pulmonary, DVT scan, chest Xray, abdominal ultrasound & sleep study) before they would ask for insurance approval). The surgeon's office prepared and submitted the paperwork to my insurance company after choosing a "hold" date for surgery with me. Approval from the insurance company was the last thing I got before I went into surgery. Hope this helps. Thank You SuzeMuze Yes It Helps A Lot Share this post Link to post Share on other sites
ThinnerMe2015 14 Posted November 6, 2014 I met the actual surgeon already and still doing dietician classes. My psych eval is later this month so idk maybe it is insurance preference. The bariatric center assigned me an "advocate" and she set up every appointment needed for me. Not sure if the order is a big deal. Everybody may do it slightly different. Thanks for the reply Zebra I appreciate it, yeah it look like it all come down ti your insurance Share this post Link to post Share on other sites
ThinnerMe2015 14 Posted November 6, 2014 I think it depends on the facility. I went to a seminar at one hospital and the next step would have been to schedule a consultation with the surgeon. The hospital I am actually going to (due to my insurance), the first step is the seminar and support group, then appointments with the dietician, then psych eval, and then after everything is done I would meet with the surgeon. All depends on where you're going. I don't think it has anything to do with insurance, but I could be wrong. See I've done the dietitian meeting already and went to a seminar yesterday and they said they will schedule appt in about 2 weeks to meet with the surgeon, but I think if I go ahead that way I may be stuck with a bill cause it's like I am moving on my own. I have a referral cordinator working on referrals for me so I guess I need to go through them to make sure ALL my procedures will be covered. So I am waiting now for her to submit paper work to my insurance. I still have to have a psych evaluation, and meet with a surgeon, I guess that will happen next upon approval..... I Guess !!! Share this post Link to post Share on other sites
ThinnerMe2015 14 Posted November 6, 2014 I called my insurance company and ask for the requirements first. Then I called and scheduled an appointment with my primary care doc and the surgeon. So insurance had only 4 requiments and the surgeon has a few of his own. Insurance required: Pych eval, 6 month diet supervised, I must use a "center of ecellance" facility, and since my BMI was below 40 I needed to have at least 1 co-morbility. Surgeon required: (He determined these at the first appt.) Endoscopy Test for sleep apnea Pulmanary testing (heart stress test) I just tried to get all of them out of the way. It is co confusing for me at times because I have 2 Insurance carriers and when I started I had just the one, but now I have 2 and the new one is now my Primary, and I get so confused. I have been meeting with my Dr. and Dietitian, and have finished that requirement. No the referral coordinator is sending paper work into insurance I don't know if that's for surgery approval, or just approval to see psych dr. I am getting overwhelmed, I need to find my zen and just relax and hope al turn out good, I am getting to anxious, I am losing my patience too, and I know dealing with insurance companies, these things take time, it's not gonna happen over night, now the thing is getting that thought to stay in my brain, and just relax...Lol Share this post Link to post Share on other sites