I need help!!
Im just curious, but if a insurance company required you have do a 6 month supervised diet they would make that clear from the beginning right? I mean from your first appointment the surgeons office would have made that clear right?....
I was submitted to the insurance company in March and in April they told me that my thyroid levels were high and that all I needed to do was get them to normal ranges (which I have) and just have the office fax them those results and I should be approved. Which the surgeons office is faxing them today. Well my dad submitted to the insurance a week ago ( we have the same insurance ) and they said that he didnt have a 6 month supervised diet, which he did from awhile back it just wasnt in the paperwork that his PCP sent. So now im wondering if they are going to say that I need a 6 month supervised diet. That will really make me mad because they said I didnt need that at the beginning... 7 months ago! So if they did require it from the beginning and would have told me, I would have been done with it by now!!!! I really hope that this doesnt happen because that will be BS! My mom had her surgery done 3 weeks ago and she didnt need it.. so why is it a problem now...??? I called my insurance company and they told me that yes they do cover bariatric surgery(DUH) but that they werent allowed to give me any other information and if I wanted to know the requirements that I would have to contact my surgeons office and they would have to call my insurance... I also called my surgeons office and the girl that handles the insurance stuff was very very rude to me and told me that " She already faxed over a paper to my mom and for me to ask her the question".. ugh isnt that your job??? I dont want to ask my mom because she doesnt know either, your supposed to know!!! Im very frustrated! Please Help me!! BTW- I have NEIBP but they use BCBS of IL as a carrier(or something)
I was submitted to the insurance company in March and in April they told me that my thyroid levels were high and that all I needed to do was get them to normal ranges (which I have) and just have the office fax them those results and I should be approved. Which the surgeons office is faxing them today. Well my dad submitted to the insurance a week ago ( we have the same insurance ) and they said that he didnt have a 6 month supervised diet, which he did from awhile back it just wasnt in the paperwork that his PCP sent. So now im wondering if they are going to say that I need a 6 month supervised diet. That will really make me mad because they said I didnt need that at the beginning... 7 months ago! So if they did require it from the beginning and would have told me, I would have been done with it by now!!!! I really hope that this doesnt happen because that will be BS! My mom had her surgery done 3 weeks ago and she didnt need it.. so why is it a problem now...??? I called my insurance company and they told me that yes they do cover bariatric surgery(DUH) but that they werent allowed to give me any other information and if I wanted to know the requirements that I would have to contact my surgeons office and they would have to call my insurance... I also called my surgeons office and the girl that handles the insurance stuff was very very rude to me and told me that " She already faxed over a paper to my mom and for me to ask her the question".. ugh isnt that your job??? I dont want to ask my mom because she doesnt know either, your supposed to know!!! Im very frustrated! Please Help me!! BTW- I have NEIBP but they use BCBS of IL as a carrier(or something)
HealthNet HMO of California didnot require a six month diet for me or the last 4 HealthNet patients my surgeon has done procedures on. The current medical standards of care state that the six month diet is not beneficial to most morbidly obese patients. Good Luck and I hope they don't make you go backwards again! April in Sacramento (bmi 40.1)
The drs office does not always tell you. I was trying to get WLS back in '05, and was denied because I didn't have 1 yr medically supervised diet. Since then it has changed to 6 months. BTW I do have BCBS IL. Since then I have taken it upon myself to find out what is covered what's not, and any stipulations that may be out there. You have every right to know what your policy covers and/or any requirements. Call them bac****il someone gives you an answer. Just my two cents. I wish you well, and hope everything works out in your favor.
~Nik
Most Active
Recent Topics
My insurance will not pay for my excess skin that hang down to my knees
Hockeymom87 · 0 replies · 605 views
Hockeymom87 · 0 replies · 605 views
