Question:
Medical History- what if it is incomplete?

I have been reading that most insurance companies require a some kind of medical history from your doctor. I am one of those kinds of people who does not go to the doctor until I am ill. Most of my health concerns surround having PCOS which was diagnosed and has been treated by my GYN- I also had a very difficult pregnancy that was documented by my OB, perinatalist and dietican- my concern is not having documentation from a general family doctor- what are your thoughts- is this another insurance company decision? Thanks    — kaylazoe (posted on May 6, 2009)


May 6, 2009
It depends on your insurance companies policy. I have Humana who required: 1. Med record showing I had been obese more than 3 years. (your GYN records should work). 2. A letter from my doc stating they felt I would benefit from WLS. (again, I would think your GYN could do this if they felt comfortable doing so. 3. Documentation of a 6 month, physician directed, weight loss effort. If your insurance requires that 3rd one you will have to find a primary doc and do a 6 month program. Some insurances don't require this, some require 3 months. I called my insurance company and asked specifically then worked with my surgeons office. They were helpful providing forms for my primary doc to use that Humana prefered. Getting everything together including my psych eval took 3 months. When we finally had the packet complete and submitted it to Humana I had approval in 2 days. Preperation is the key so find out specifically what your INS company wants, your GYN records could be enough or just a good start. Hang in there. Kevin
   — hapkidodoc

May 7, 2009
Boy, for years when I went to the doctor I always refeused to get on the scales. This caused a problem when I wanted WLS because there was no record of my weight fluctuations. I was able to find recorded weight when I went for bone density tests. They need to know how much you weigh in order to do the test properly. Lucky for me they still had their records!It's been two yearsd post surgery for me and I've lost 140 pounds so I don't mind getting on the scales now! Good luck to you on your journey.
   — Muggs

May 7, 2009
You will need to get hooked up with a primary doctor. they should have records form all your other doctors including weight. You may have to go to your GYN and explain what you are planning so they include the weight in your records.
   — trible




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