Oxford/Nutritionist Question

katield
on 10/22/07 10:46 am - Somewhere, NY
Hey guys.  I was just told by my PCP the other day that my insurance - Oxford Freedom Plan - doesn't cover nutritionist appointments unless I have diabetes or hypertension, neither of which I have.  If I go through this whole process, I'm assuming I'll have to pay for the nutritionist evaluation out of pocket.  That wouldn't be too big of a deal because I think Oxford only requires you to go to one once but I'm worried about whether my surgeon is going to require me to a bunch of nutritionist visits and I really cannot afford that. LONG STORY SHORT - have any of you guys had experience dealing with Oxford, particularly the Freedom plan, and the nutritionist?  I haven't actually gone yet, but I have an appointment with Dr. Adaniel, a surgeon, in a few weeks.  I'm just trying to make sure I have all of my bases covered.  Thanks :o)
Joanne NYC *.
on 10/22/07 11:44 am - White Plains, NY

I had Oxford Freedom when I had my surgery.  The nutritionist is not covered and neither is the psych evaluation.  I don't think you're surgeon would require more visits, but the nutritionist or psychiatrist might.

I had to go for what they called cognizant therapy.  Oxford did cover that with a $25 copay for each visit. You should be very happy that you have Oxford.  They are one of the easiest to get approval from. Good luck, Joanne

 

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katield
on 10/22/07 12:49 pm - Somewhere, NY
Thanks so much - I figured that's what the case was, but wanted to make sure.  It's so weird that wouldn't cover the psych evaluation considering they'll cover therapy.  Oh well, people have to deal with so much worse, hopefully that'll be one of my only financial burdens.
Britt
on 10/22/07 9:04 pm - Long Island, NY

I have oxford freedom - I went to the NUT once before surgery.

I also went afterwards (because i bought a package) 3 -6 -9 - months  best of luck to you Oxford was WONDERFUL!!!!

  Nothing - tastes as good as it feels -to be at my ideal weight :)    
Lap RNY 11-6-06
at goal 10-6-07 - Attacking my regain 2013
                        Mommy to 3 princesses ~ Wife to Paul

     I'm a "before and after" in OH magazine (January / February 2008)

katield
on 10/23/07 4:00 am - Somewhere, NY

Thanks for the info, I keep hearing good things about Oxford.  How much did the package cost?

Britt
on 10/23/07 11:05 pm - Long Island, NY
that price is going to be different depending on who you go to ... I bought a package for 350 ---> worth every $  best of luck to you, Britt  

  Nothing - tastes as good as it feels -to be at my ideal weight :)    
Lap RNY 11-6-06
at goal 10-6-07 - Attacking my regain 2013
                        Mommy to 3 princesses ~ Wife to Paul

     I'm a "before and after" in OH magazine (January / February 2008)

Joanna_F
on 10/24/07 1:44 am - Newport Beach, CA

Hi Ladies:

As a weight loss counselor out here in CA, I wonder if your Nutritionist experience felt tailored to your specific post-op needs (or limitations) or if it just included general guidelines.  I had a post-op client recently who, in the midst of my "salad" talk, told me "I don't do salad - I don't want to waste the space!"  And that made total sense to me, and helped me offer her other ways of getting her fiber in.  So I am just curious, and want to make sure I can take the best care of my folks as possible!

Thanks Ladies - you are awesome!!

 

    

Hi!  I am Joanna Fee, ObesityHelp's Events Manager and the Managing Editor of Bariatrics Today magazine.  For the latest info on events, please visit OH's events page.  Please feel free to e-mail me with questions, comments or concerns about the events or BT magazine.  Thanks!  
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Britt
on 10/24/07 2:46 am - Long Island, NY
My Nutritionist works specifically with WLS patients ...she is terrrific - and has been so supportive in my journey

  Nothing - tastes as good as it feels -to be at my ideal weight :)    
Lap RNY 11-6-06
at goal 10-6-07 - Attacking my regain 2013
                        Mommy to 3 princesses ~ Wife to Paul

     I'm a "before and after" in OH magazine (January / February 2008)

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