Trying to get ducks in a row....

Jennywren93 · July 22, 2008

today I decided to do more research into the lap band, and before I get too excited (self-pay isn't an option right now), I called the dr to see if I could even get it (I had pyloric stenosis surgery at 1 mo old) and they said yeah, it should be fine. Then I called my insurance co to see if they "cover it", and yes they do- but we need a "predetermination letter" before you are approved. I have Principal insurance-anyone have any experience with them?

last year I went to a plastic surgeon who "just knew' I would be approved for a breast reduction- and they denied me....so.... I am nervous about what hoops I might have to go through, or if they will just reject me immediatly.

Anything I need to tell my surgeon for him to include in the letter so I get approved? or anything I can do before hand? (my bmi is 41 right now according to the wii fit)

Jennywren93 · July 25, 2008

Well, dr's office called today (had my seminar last night) they talked to my insurance and yes it is covered, BUT.... I have to have a letter of recommendation from my pcp (I'm not sure he will give it), a 6 mo dr followed diet, psych eval, nutrition eval and 3 yr hist of weight (1 wt from each year). Then they will send a predetermination letter and that takes about 30 days to hear back from.

At least I know going in what I need. I am cool with that. So it takes me 7 mo prep.... in 5 yrs i am still going to weigh less than I do right now, right? So what does 7 more mo matter?