City of Mesa/ American health group??

I dont know what steps to take... dose anyone know or work for city of mesa.... or the approvial co American health group?

Any info will help..

Christina

Best to just call and inquire - If they have  surgical benefits for weight loss surgery , & what the criteria is ... That is best place to start.

Welcome to the Board...

I have done that I'm just still afraid they will still say no... I was told by my surgeon that American health group is one of the hardest to get a yes from...

So I am crossing all my T's and dotting all my i's.. by getting a letter from my chiropractor and OBGyn along with  PCP.. and seeing a nutritionist. I am also getting my family history (mother and father side) both saturated with Diabetes, cancer, High BP and sleep apnea, and I would say 75 % is Morbidly obese and the rest are normal to just obese... i also still have to do a sleep study...


let me know what you think

Christina

AHG is IMHO the most difficult to deal with.  I am not trying to discourage you but I have had EVERY patient initally denied then approved on appeal.  They will push until you just can't take it anymore.  I have left the office nearly in tears and I can only imagine what the patient is feeling!  They have a new person that I have had the pleasure of dealing with and feel she is very fair and will even let you know exactly what is lacking.  I have the entire criteria at work if you email me I can send you the list if you do not already have it.  Make sure you have the 5 yr hx, MD supervised diet info (at least 6 mos), 2 (TWO) letters of Medical necessity from 2 different docs.  Any co-mobids conditions need to be well documented as to when they began and what you have done to correct/control them.  If all else fails, call  AHG and speak to them directly.
Good Luck I am sure you will get approved!!