Need advice & help.........fast!

Bonnie S.
on 5/3/05 12:12 pm - New Castle, DE
Hi Everyone................Here's my problem. I am scheduled for surgery this Monday the 9th. I just found out that my PCP needs to send copies of my records stating that I've be on a supervised weight loss regiment before Misty can try to get insurance approval. ( I don't think that would really be a problem considering I am on 5 B/P medications, Have had bleeds behind my eyes (due to B/P) I have had both knees scoped, and am looking at a knee replacement if I can't get this weight off. Of course I've said I was concerned about my weight and the Dr. gave me copies of diets, but nothing specifically for weight loss. I have an old weigh****chers card from 6 years ago. I've tried Atkins diet several times, and a few other things. BUT...........NO documented visits. What do I do now?? I have all of my bases covered, my support at home, most of my supplies, and most important....coverage at work. Bonnie
Penelope
on 5/3/05 12:18 pm - DE
Bonnie, Go to your Dr.'s office and ask them to make a copy of your records for the last 5 years. Then sit down and make a list of the diets you have been on for the last 5 years, how long they lasted and how much weight you lost. If you can correspond them to the weight fluctuations in your Dr's notes all the better. I went through the same thing with my insurance company and with this documentation they approved me in one day. You have to get the Dr's notes, it is usually not enough to have the Dr. write a note though that will help if he will do one as well. Hopefully his notes will include comments about being morbidly obese and his recommendation for the diets. Penny
Bonnie S.
on 5/3/05 12:31 pm - New Castle, DE
Thanks Penny.............I will do that first thing tomorrow as well as letting Misty know about my plans. Keep your fingers crossed....and your toes....and you eyes O.K. now I'm being stupid. It's getting late for me. Thanks again Bonnie
Gigee
on 5/3/05 2:03 pm - Newark, DE
You are in my prayers Bonnie. *hugs* Gigee
Bonnie S.
on 5/4/05 5:34 am - New Castle, DE
Gigee Thanks for your prayers. How are you doing?? Bonnie
Joni R.
on 5/4/05 12:55 am - Elkton, MD, DE
Bonnie, Penny gave me the same advice and it worked for me. Depending on your insurance company it sounds like you may have enough, if you gather all that information together. Stay on top of your PCP to get the records, and don't take "we're trying to practice medicine" for an answer. Best of Luck, Joni
Bonnie S.
on 5/4/05 5:37 am - New Castle, DE
Joni Thanks for the advice. I actually stopped at the PCP right after work today, and I got a copy of my records. I will look thru them tonight. Bonnie
Mamasita
on 5/4/05 1:24 am - New Castle, DE
I agree with Penny. Then copy all of that info and take it to the office (keep a copy for yourself). Follow up with phone calls. Don't forget to say a prayer and cross your fingers, too. (can't hurt). Good luck, Dianne
Bonnie S.
on 5/4/05 5:41 am - New Castle, DE
Dianne, Thanks! I will look thru the records tonight and Fax all of the information over to Misty 1st thing tomorrow morning. Hope it will be enough for Aetna. Bonnie
T T.
on 5/4/05 8:57 pm
Bonnie, The others have given you excellent advice, so let me just say, that you will be in my prayers! Hugs, Tammy
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