First Visit 14th and got paperwork today.. Confused.

[Brittneysue12345 18]

Hi ! Last week the office called and said they verified with insurance and my first appt is Monday 14th to see the doctor and psychologist. I've been trying to find what my insurance requires for approval and am having no luck. Today I got in the mail a benefits summary but it still doesn't show requirements etc? It also had included a paper for me to approve the office to discuss with them anything with my insurance etc. anyone else ?

I have anthem BCBS

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[AmberMc03 59]

Look for a clinical bulletin published by BCBS that should tell you all the requirements.

[cat saaski 104]

What state is your bcbs policy through? I have bcbs il and the medical policy is on line. You should be able to call customer service and ask what is the criteria for the procedure to be a covered benefit.

[Brittneysue12345 18]

Ohio

I got a summary sent to me by them but it doesn't show anything but that it's covered and my out of pocket.

I went online and see nothing on my page at all.

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[cat saaski 104]

Sounds like they sent you your benefits. It may be that your plan doesn't have any specific requirements. That's good. However, anthem has a medical policy which most likely has specific requirements. I would call back and ask about that ask to speak with a supervisor of you aren't getting you questions answered with detail. Your doctors office may also have experience working with them and might know the medical policy, you could ask the surgery coordinator.

[Brittneysue12345 18]

Thank you! I have my first appt on Monday I made myself a folder with my history, med list, allergies, extra copies of things and my ID insurance etc. trying to be prepared .. I wanted to have a list of requirements etc. so I guess I need patience and wait till Monday lol. The folder I created !

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Also plan to add a section for daily food log ,,, and even a diary section for good moments frustrated moments etc.

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[Inner Surfer Girl 12,015]

I love your binder!

I wouldn't worry about it too much. Your practice should have a min insurance coordinator who may be familiar with your requirements or be able to find out for you.

Best of luck!

[cat saaski 104]

Awesome binder. You seem very prepared!

[Brittneysue12345 18]

@@sassycat

I'm trying!

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[Brittneysue12345 18]

I found this online... But it's weird to me that my friend has bcbs and her requirements were not like this so maybe different for each company or something?

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[Brittneysue12345 18]

Found this but strange my friend has bcbs and didn't go thru half this... So who knows. I assume I need the 6 months and my pcp didn't send me there so I'm hoping they follow thru with me and the recommendation?

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