Question:
Kaiser is changing the way that they handle requests and approvals?
I went to a Northern California Weight Loss Support Group (www.dsp.net/karenmj/ncwlssg.html for more info on this group)meeting on the 19th and was told by another Kaiser member that Kaiser is in the process of changing the way that they handle requests an approvals for surgery. Does anyone know anything about this?! I can't find any information and am still waiting for my doctor to call me back. — Kristie B. (posted on June 27, 1999)
June 26, 1999
I am going to kaiser vallejo and my doctor is in the process of getting me
approved for the WLS. I have to meet these requirments 100+ overweight,
have to see the dietician and psych. I am now waiting to see the dietician
and I am on a waiting list they are short handed. I got the brocher from
the doctors office and they are now becoming a little more open about it at
least my doctor is.
In fact he said if it were him he would have the wls.
Find a good PCP at Kaiser and go for it. I am just waiting it out. I'll
keep you posted.
Good Luck
— Richard J.
July 17, 1999
I am a Kaiser patient in Fremont and on June 17 th I was told by my pcp
that they have started a new policy which was to include a 10 week kaiser
dietain weight loss program and a Phy program as well and that it could
take about 10 months to get approval. I checked with the patients asst. at
kaiser and she checked up on it and she called me back and said the same
thing. I was so frustrated because my doctor had just sent a lady through
in 5 months and he too was frustrated. I then contacted Pacific Bariatrics
who is the group of surgeons that I am trying to go through and asked them
what they had heard from Kaiser and they said they really hadn't heard
about any changes and that they had a contract with Kaiser to have anyone
with a BMI over 40 be approved so they said they would investigate it.
Well I just spoke with them on July 16 and was told that the person in
Kaiser who made the changes did not have autorization to make these changes
and he has since resigned and that a E-mail was suppose to go out to all
Kaiser PCP that they are to proceed the old way. So I am not quite sure
where we are headed but I did place a phone call to my PCP and On Monday I
will call the admin. offices of Kaiser to see whats up. I hope this helps.
I will keep you all updated. Laurie [email protected]
— Laurie C.
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