United Healthcare ( backed my medicaid) and Prior Authorization

Gaigesmom627
on 9/8/15 6:35 pm

I have the same insurance Rachel. I was just wondering what the requirements were that you had to do before approval? 

RachaelThomas
on 9/8/15 6:38 pm - South Point, OH
VSG on 12/17/14

My doctor had to refer me to a bariatric program and I then had to do all of their requirements. I started going in July and December 17th I had my surgery. 

Gaigesmom627
on 9/9/15 7:18 pm

Did you have to have any comorbidities? 

RachaelThomas
on 9/9/15 7:34 pm - South Point, OH
VSG on 12/17/14

pcos

Gaigesmom627
on 9/11/15 7:27 am

Thank you for answering my questions. The insurance company doesn't seem to tell me anything. Did you have to do a supervised 6 month diet? 

RachaelThomas
on 9/20/15 7:30 pm - South Point, OH
VSG on 12/17/14

Well the program I went through took about 6 months but the insurance didn't require me to do it! Any other questions feel free to ask. good luck!!

seiriamichelle
on 9/25/15 11:01 pm - Columbus, OH

What exactly was the prior authorization? 

RachaelThomas
on 9/26/15 5:22 am - South Point, OH
VSG on 12/17/14

Sometimes you have to get approved from your healthcare provider for certain medications and certain surgeries. That is where prior authorization comes in. If you don't get this authorization you will not get the medication or surgery. 

seiriamichelle
on 9/26/15 8:54 am - Columbus, OH

Okay, so. Insurance told me that I didn't need a referral from my primary care doctor and that I could go straight through a surgeon. Problem is, I have to fill out an application before bariatrics even sees me. So, would I make the surgeon do the authorization? 

RachaelThomas
on 9/26/15 9:15 am - South Point, OH
VSG on 12/17/14

Yea your pcp won't put in for the auth. The surgeons office will. 

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