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Another Big Step and Advice Needed.



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I called my insurance company today to see what requirements they have to approve patients for bariatric surgery. I was told that I have no psychologist requirements or weight loss program requirements from them but my surgeon may have them. They referred me to their Bariatric Resources Services and scheduled an appointment with a case manager for this Friday. I have been aiming at surgery for next summer due to the fact that most of our office gets six weeks off during the summer. Now I don't know if I should be thinking about doing it sooner.

Any advice on what questions I should ask the case manager?

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Assuming I read you correctly that case manager works for the insurance company? If so, I would ask for everything in writing first and foremost. Secondly, ask if you have to use a Bariatric Center of Excellence and/or do they have someone in your area they would refer you to.

Regarding the timing, not sure when your insurance renews, but if it is on a calendar year (i.e. renews 12/31), then you might consider trying to get it done this year. If the policy changes when it renews at 1/1 (and there are no guarantees it won't), then anything they tell you now could be completely different.

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Totally agree with the post reason to believe made! Good luck!

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