Good Morning. Dietitian appt not covered by insurance

MajorMom
on 4/25/11 8:33 pm - VA

Dang! Got and EOB in the mail yesterday saying that my appt in Dr Elariny's office will likely cost me $523. I made the appointment with the dietitian and I'm guessing the claim was totally denied. Crap! It was a good appointment too. She had done her homework and talked over specific labs with Dr E before we met. Was it worth $523? That's 60 days of vitamins and protein powder for me. I guess I'll call and see if I can get hold of the case worker and see what can be done. {sigh}

Read the fine print!

Y'all have a great Tuesday.

--gina

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Cheryl W.
on 4/25/11 9:27 pm - Fernandina Beach, FL

RNY on 12/15/10

Thanks for the lesson learned.

I'm interested in what will be covered now that I will be changing insurance carriers. Probably nothing, as I'm no longer obese. That said, I'll need to find a surgeon for follow up care in your neck of the woods. I'm certainly not driving 7 hours to Charlotte for a 5 minute consult with my surgeon. Or should I skip the follow up visits as long as I'm not having problems? What to do?

Maybe the surgeon's office will let you pay the "insurance covered amount" or whatever the heck they call it. They inflate the prices so much, then write off what the insurance negotiated price doesn't pay. What a racket. I should be in health care, it's higher finance, than the finance industry.

HW: 258 SW: 237 CW: 152

MajorMom
on 4/25/11 9:31 pm - VA

DS on 08/09/07

You probably don't need a surgeon as a matter of yearly follow ups but you do need a PCP that will listen to you, order your labs and is familiar with the RNY. If you do have problems, you have 2 great hospitals with thriving bariatric programs close by. My surgeon is at both but has trained the ER staff at Fairfax Hosp in Falls Church.

--g

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Price S.
on 4/25/11 9:27 pm - Mills River, NC

RNY on 09/09/10

Our Nut appointments for life are covered in our surgery package. But when I was in the hospital with my amnesia episode, they denied the neurologist because it wasn't "preauthorized". Insurance

I guess I forgot, duh.

I think my insurance covers a limited number of visits a year, in their wellness program. If yours doesn't, I would ask them to reduce the cost. $532 is a lot for one visit for someone who doesn't even have an MD. My neurologist wasn't that much. A freind who has a high deductable insurance routinely tells Drs she doesn't have insurance and gets much better rates than those of us who do and then the insurance/drs cut a deal about how much they will pay. My surgery (hospital part) was 66,000 but I can assure you neither the insurance or I paid that much for it.

66 yrs young, 4'11" hw 220, goal 120 met at 12 months, cw 129 learning Maintainance

Between 35-40 BMI? join us on the Lightweight board. the Lightweight Board

MajorMom
on 4/26/11 2:09 am - VA

DS on 08/09/07

I talked to the case manager at the surgeon's office. She said to call the billing company and make sure I was denied because nutritional visits are excluded. Once she knows that, she'll work with me on reducing the bill. Thanks, feeling a little better.

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

RaggetyAnn
on 4/26/11 9:31 am

VSG on 02/15/11 with

But when I was in the hospital with my amnesia episode, they denied the neurologist because it wasn't "preauthorized". Insurance

"Hello, insurance company? Yes, I'd like to let you know that in March I will be having an amnesia event and I'd like to request preauthorization for a neurologist."

Then they'd authorize a psych consult, but still deny the neuro consult.

RaggetyAnn (I'm just a RaggetyAnn in a Barbie Doll world.)
hw: 216 sw: 200 cw: 156 dgw: 134 mgw: 124

Stacey N.
on 4/25/11 9:40 pm - Chesapeake, VA

RNY on 08/31/10

I am going to ask to speak with the nutritionist today when I go in to followup from this last surgery. I know I dont have to pay because of Tricare but it makes me wonder what happens when he retires.....Hmmmm something to think about...

HW-220 SW 205 4'11"

MajorMom
on 4/26/11 2:07 am - VA

DS on 08/09/07

I won't be able to get Tricare Prime until I turn 60 but I'm hearing pretty good things about it from one of the guys in the office. Swinging lizards...

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Ladytazz
on 4/26/11 3:20 am

My nutritionalist isn't covered, either, and she worked out a reasonable rate for me. $523 is an awful lot of money for one visit.

WLS 10/28/2002 Revision 7/23/2010

High Weight (2002) 240 Revision Weight (2010) 220 Current Weight 115.

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Good Morning. Dietitian appt not covered by insurance