Question about Approvels

christina B.
on 2/16/10 4:51 am - Indianapolis, IN
Hi if a person gets approved by a doctor will that stand for another if i wanted to change to someone else? 
Thanks
Christina B.
RNY 2003 *************Start weight 320   
Revision March 11,2009***Weight*****243
Current weight ******************** 179.8 just overweight
Goal weight **********************175
Got my WII Fit 11-2009
                                                     sexy
                          
(deactivated member)
on 2/16/10 7:08 am - Wiesbaden, Germany
DS on 10/08/13
Probably not.

Better safe than sorry.  Resubmit.
jaylynn
on 2/16/10 7:26 am
That is dependent upon your insurance company.  My company approves the PROCEDURE...not the surgeon.  I went for a second opinion and did not need to resubmit.  Good luck.


  

 

 

   
Tisha C.
on 2/16/10 8:13 am - Signal Hill, CA
On February 16, 2010 at 3:26 PM Pacific Time, jaylynn wrote:
That is dependent upon your insurance company.  My company approves the PROCEDURE...not the surgeon.  I went for a second opinion and did not need to resubmit.  Good luck.
This is correct with most insurance carriers. The procedure is what you are requesting approval for - if you have a PPO plan then technically you can see any surgeon that you choose just taking into consideration In/Out-of-network contracts.

Some carriers, however, may tell you that you can only have the procedure done at certain hospitals with surgeons carrying certain designations but I suppose that would depend on the procedure.  For instance with Anthem Blue Cross, typically for the Gastric Bypass (I know we are talking PS here...but this is just an example) they require you to have the surgery at a Center of Excellence.

Call your carrier and ask - let us know what they say.

Good luck! :)

Tisha
Tisha
Anchor Cut TT 02/25/10
Lap RNY 03/29/06
   326    /   175
(Start / Present)
_______________________________
Celebrate we will - for life is short but sweet for certain.

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dctlct
on 2/16/10 9:21 am
I don't know about your carrier but mine said I had to resubmit for any change of providers....so irritating. I'm now waiting for approval again. I heard that once you're approved it will get approved again though. Good luck, Linda
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