Question:
Has anyone had a DR reccomend that they have terapy during the insurance apprval phas

My DR put in her reccomandations that client undergo some self requested as well as reccomended psychotherapy during insurance approval for at least 2mnths. Now my concern is that bcbs will see the 2 mnths and hold off on reviewing my case until i have met that criteria.If only she would remove the 2 mnth part. I planned on seeing a therapist anyway through this whole process but now she has me between a rock and a hard place with the insurance. Any suggestions?    — doreen M. (posted on July 14, 2000)

July 14, 2000
Doreen, Wow, we're almost neighbors. I live in Westland, MI and I'm currently starting the road to WLS. I'm going through Bariatric Treatment Center and with the type of Insurance I have, BC/BS Community Blue, PPO, they require that I have an psyc. evaluation. So far, I've already had one session and still have maybe two more to go. My Psychologist said that with his report he is going to recommend that I continue to seek help after the surgery. But, as soon as I finish my evaluation, he will send it to BTC and then they will send the request to BC/BS to start the approval. Which, BTC, told me that they will take at least 30 to 45 days to look at it. Here the kicker. I also have BC/BS Teamsters Welfare Fund through my husband and BTC told me that they DO NOT require a psyc. evaluation and can have an approval in about a weeks time. Less if they fax it. But, I have to go through my primary first. Darn! So a suggestion would be to see if your Dr. would just note that you need an pre-op psyc. evaluation and then have the Psychologist submitt his report to start the approval and then you could continue to see the psychologist while waiting for the approval. Good Luck!
   — Kimberly D.