My PCP called!
I got a call from my PCP stating that my sleep issue isn't bad enough to use as a co morb.
I explained that Priority Health, my ins. co. will review records and make decisions on an individual basis and he was on board!! He said he would dictate a letter and I should bring in my letter and submit it all together.
I have felt like he wasn't going to be supportive but I guess I was wrong, thankfully.
Any advice on what to include in these letters? I'd like to do all I can to avoid a denial to see the surgeon.
Thanks,
Hi Laura!
Here's a link to a letter that I used for my insurance.
http://www.obesityhelp.com/content/letterofmedicalnecessity. html
I was approved on my first submission with a BMI <40 but with comorbidities. I just "customized" it to fit my comorbidities. I also included a section specific to my family history. My insurance didn't consider it a comorbidity but did take note of it.
Make sure you do your research to make sure you're set for your first submission. This site has great resources. I'd also suggest researching all of the WLS (lapband, RNY, DS). Some think that there are only two WLS but there are more. Choose one that fits you best.
Best of luck in your journey!
HW/SW/CW/GW 231/225/123/130-125
~Surgeon's Goal of Normal BMI reached at 6 months Post Op~
~Personal Goal Range achieved at less than 10 months Post Op~