I need help!!!

I am hoping someone knows the answer to this question. I see two different physicians - one for when I am sick, the other for everything else. When I initially spoke to my insurance about the requirements for my insurance approval, she (bcbs) told me I needed 6 consecutive month PCP forms for my surgery to be approved - no mention of it having to be the same doc. I had my first four months completed by one physician and the other 2 completed by my other doc. Now, I am being told by the lady over the insurance at the lapband doc that it needs to be 6 months of forms by same doc! Anyone know or had the same experience? I would appreciate any advice as this was not mentioned to me initially (I didn't think it would matter) and now I may have to start completely over on my 6 month visits which will obviously delay my surgery!! Arghh!!

i have aetna.. and they insisted i find and follow-up with the same PCP for the entire 6 months... maybe if you can call the insurance company they can grant you some sort of lienency? good luck.

I would fight that if I were you. Ask to see where it says it HAS to be with the SAME doctor.

I agree with pumpkin I would appeal it if it doesn't say it has to be the same doctor

Contact your insurance and see what they say and have them send you a written answer so you can show your band doc. I don't see why it would make any difference as long as you were being medically monitored. Of course the surgeon can also have requirements but it seems kinda silly to me. Good luck.

Yes fight it. I had mine done with no diet requirement, BCBS. I am sure it depends on the policy but question that, too.

My insurance (aetna) has posted on their website the exact requirements  for wls.  I'd check your insurance website.  If there's no mention of there having to be one doc I'd definitely fight it.  I deal with insurance companies everyday for work.  If they can weasel out of paying they will.  They're counting on people not fighting them!! 

Thank you so much for all of the responses I received. I have to say...I have been reading posts on this site for several months - this was my first post - and I am so impressed at at how helpful everyone is!! I will let y'all know what I find out. Have a great day!!