Question:
I don't know where to start!!!
I would really like to have surgery but i don't know where to get started. What do i do first? I have PHP insurance of Michigan and don't even know if they cover it. Do i talk to my pcp first or find a surgeon and talk to them first. I am so confused — charri09 (posted on April 15, 2000)
April 15, 2000
The first thing I did was look over my
insurance policy to see if there were any
exclusions for wls and there were. It
had to be medically necessary for them to
approve it. Then I went to the AMOS
website to locate surgeon in my area.
Then I read what the support group
members had to say about him and then I
made an appt for my initial consult. I
also checked out the insurance info on
the AMOS website also to find out the
likelyhood of me being approved. My
insurance is a ppo so I did not need a
referral to see the surgeon. I discussed
the surgery with my PCP after I saw the
surgeon.This may sound like a commercial
but AMOS is like a ONE STOP SHOPPING
PLACE for people who are planning to have
surgery. You can search for a surgeon,
local peers, insurances that have a good
approval rate, they even have sample
insurance letters to send to the
insurance companys. So if you do a
little HOMEWORK You will find most of the
things you need to know through this
site.
— blank first name B.
April 15, 2000
The first thing I did was look over my
insurance policy to see if there were any
exclusions for wls and there were. It
had to be medically necessary for them to
approve it. Then I went to the AMOS
website to locate surgeon in my area.
Then I read what the support group
members had to say about him and then I
made an appt for my initial consult. I
also checked out the insurance info on
the AMOS website also to find out the
likelyhood of me being approved. My
insurance is a ppo so I did not need a
referral to see the surgeon. I discussed
the surgery with my PCP after I saw the
surgeon.This may sound like a commercial
but AMOS is like a ONE STOP SHOPPING
PLACE for people who are planning to have
surgery. You can search for a surgeon,
local peers, insurances that have a good
approval rate, they even have sample
insurance letters to send to the
insurance companys. So if you do a
little HOMEWORK You will find most of the
things you need to know through this
site.
— blank first name B.
April 16, 2000
One of the best places to start when researching WLS is the insurance
company. Obtain a copy of your policy and read every word to see if it is
covered or the limitations. In the meantime, get yourself educated about
all the different types of surgical options available. This site has an
extensive database and I always encourage people to check out the database,
Your question has been asked many times and there are so many great answers
already for you to look over!! You will also find answers to questions you
don't even know you have. Another great place to start is to click on the
homepage here and input your state. Then you can connect to see other
people who live in your area, the doctors they have used, find out about
their insurance companies and so much more. Good luck and happy reading. An
educated consumer is your best defense against false, misleading, and
downright dumb information and doctors, too.
— Fran B.
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