My insurance changed and dr who did sleeve is not covered:(

[grandmaofone 411]

Kansas City Mo area Help!!!!!!

Who did you have surgery with and did you like them. I had my surgery on June 15, 2015. Our insurance changed and now Dr. Price from St. Luke's on the plaza is not covered. I need to find a new dr to go to for follow ups and want your opinion. Who did you see and did you like the office staff and the doctor???

[WalkOnWaking 139]

Check with a SUPERVISOR at your new insurance company.

I had the same thing happen to me (a different surgery). They allowed me to see the surgeon as an In-network doc even tho he was out of network for the follow-up period. Same thing for the physical therapy. I had 3 more surgeon visits and 12 or 14 (2x a week) physical therapy visits covered at the in-network benefit but saw folks out-of-network. It can be done on a case-by-case basis. The reps in customer service can't do it but a supervisor can.

[Miss Mac 6,262]

I went to all of my follow-ups with the Bariatrician, Nutritionist, and Psych through to my two-year point in December. There was nothing they did there that my primary doctor could not have handled. As a matter of fact, my two week appointment got cancelled because of blizzard conditions, so my primary saw me a week later.

Unless you have complications, your primary may be an option for follow-ups in a pinch.

[grandmaofone 411]

Check with a SUPERVISOR at your new insurance company.

I had the same thing happen to me (a different surgery). They allowed me to see the surgeon as an In-network doc even tho he was out of network for the follow-up period. Same thing for the physical therapy. I had 3 more surgeon visits and 12 or 14 (2x a week) physical therapy visits covered at the in-network benefit but saw folks out-of-network. It can be done on a case-by-case basis. The reps in customer service can't do it but a supervisor can.

i already called the insurance company and was told that they would not cover any of it, as they are out of net work and I talked to supervisor and a manager both told me "No":( They said you only need your blood count done so your family doctor can do that. If it had been closer to surgery they would have allowed me to see them up to my 6 months.

Edited January 14, 2016 by grandmaofone