Denied a referral for not having 6 mo. phys doc. diet

modgoldwing
on 2/19/09 2:38 pm - Lodi, CA
 Hi Lisa, I have some infor. that will help. Just drop me a line and we can see what we can do for you! Take care, Dennis



 


    
LisaLisa2009
on 3/7/09 10:34 am
Update....  The denial for a referral by my medical group was overturned by Blue Shield and I had my consult at Orange Coast Memorial!  They didn't require me to do the 6 mo. diet to get a consult.  It took about 2 weeks after I appealed to get the letter.  Thank you all for the help!  Now, to wait for insurance approval! 

Lisa
CaliMom
on 3/7/09 5:20 pm
 Did you site the DMHC peer review in your appeal? Congrats on getting a referral. Onward and upward. Best of luck on your journey to getting WLS.
LisaLisa2009
on 3/8/09 6:28 am
I did include the summary and the link to the page.  I didn't include the peer reviews, though.  Thank you so much for your help.  I'm sure that helped or did the trick even!

Lisa
DONAJEAN
on 3/8/09 7:21 am

My insurance company required the 6 month weight loss trial.  I thought the waiting was going to kill me but I got through it and realized that waiting another 6 months to have the surgery was far better than being over weight for the rest of my life.  My advice to you is, go ahead and get with your primary doctor and get your weight loss trial started ASAP...you can still try to work around having to do it if you want to but at least you will already have started it in the event that there is no way around it.  Good luck and try to be patient.  I know it's hard...I have been there.

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