Failed psychological evaluation

[Georgia_gal24 1]

So I had failed psych evaluation test back in August and the psychologist told me to take 3 to 6 months session with a psychiatrist . I completed the requirements, so he wrote a letter saying that he approves me for weight loss surgery. Now my insurance is saying that they does not have enough information has anyone ever took the psychological evaluation test failed? what are the insurance company looking for?

[lmart133 68]

You might want to get those results and go b over it with your PCP. Your Insurance is looking for medical necessity..

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[fatontheinside 92]

@Georgia_gal24I hate to tell you this but theres probably a good reason your doctor failed your psych. I had a friend who failed her psych the first time. She went to a different doctor and they passed her but she was NOT ready for surgery. She does everything she should do...drinks while eating, still drinks pop, eats out for every meal. She was not ready for the psychological issues that go along with surgery. It is a mentally taxing thing to go out with friends and watch them enjoy a meal and you can only take two bites and then you're done. You need to be emotionally ready to understand that you'll have stalls and your friendships may change or you may even lose friendships or your family may not understand.

I know its frustrating but your insurance company wants to make sure you will succeed at this because if it doesn't, they'll be paying even more for you for revisions or other medical services.

I'm sorry but good luck and keep going! Be strong! Feel free to check out my blog. I write a lot about being emotionally ready for surgery.

[Georgia_gal24 1]

@Georgia_gal24I hate to tell you this but theres probably a good reason your doctor failed your psych. I had a friend who failed her psych the first time. She went to a different doctor and they passed her but she was NOT ready for surgery. She does everything she should do...drinks while eating, still drinks pop, eats out for every meal. She was not ready for the psychological issues that go along with surgery. It is a mentally taxing thing to go out with friends and watch them enjoy a meal and you can only take two bites and then you're done. You need to be emotionally ready to understand that you'll have stalls and your friendships may change or you may even lose friendships or your family may not understand.

I know its frustrating but your insurance company wants to make sure you will succeed at this because if it doesn't, they'll be paying even more for you for revisions or other medical services.

I'm sorry but good luck and keep going! Be strong! Feel free to check out my blog. I write a lot about being emotionally ready for surgery.

Thank you for replying and you are right. I am not mentally ready because I haven't changed my eating habits yet..

[Georgia_gal24 1]

You might want to get those results and go b over it with your PCP. Your Insurance is looking for medical necessity..

Sent from my SM-N910V using the BariatricPal App

Thank you for replying.. my PCP said she has not heard anything from the insurance company