Question:
How long typically does it take for the surgeon to get a letter out to the Insurance?
Each surgeon is different, but how long does it take or should it take for the surgeon's office to get the letter out to the Insurance Company after the surgical consult and the surgeon's decision for surgery? Thanks, Annie — Annie R. (posted on May 4, 2001)
May 4, 2001
Each surgeon office is different. I had my first consult this last monday
4/30 and went today 5/4 to see the dietician. Monday he will send the
paperwork. But he knows I want this to move along. I think too it really
depends how busy his office staff is too.
karla
— Karla K.
May 4, 2001
I was so pleases when I finally met with my surgeon, but after 2 weeks of
the Insurance Co telling me they had nothing I thought they were putting me
off..So I called the surgeons office only to learn they had not sent
anything yet..finally after 2 and 1/2 weeks I finally got the ball rolling
that was in March it is now May and now I'm working on the appeal..I will
not give up!..Keep faith and dont lose hope...I know its hard not
too...^j^....
— Kimberly L.
May 4, 2001
I saw my surgeon on Wednesday March 21st and They sent all the required
stuff to insurance the very next morning. But I had come prepared, I had
all medical records for the past 5 years, diet history, a letter about a
day in my life as a person who is MO, A list off all meds ( I takes over 10
differents kinds a day) a list of all the doctors i see with addresses and
phone numbers. and I had each doctor that i see write me a letter saying i
needed surgery. my doctors included pcp, orthopedic surgeon, shrink
counslor (sp?) PT person and dietian. I got approval on friday. so
everything for me tooks 2 days. My doctor said he had never seen a better
prepared person. I hope everything gets moving for you !
— C. L.
May 4, 2001
Like C.Lorenz, I went totally prepared and I think that is
the key.....I really do...
OBVIOUSLY - no one should even pursue the idea of WLS without thorough and
exhaustive research first....some of us have been at it for a year or two,
some even longer.
So - there is no excuse for not knowing exactly what the surgeon will want
to see, to know....what the insurance company will require -
GO to your very first visit ARMED with all of that stuff and it will go
much more smoothly for you.
I had ALL of my history with me. Personal history, diet history (all
programs and diet attempts - with dates and results), surgical/medical
history - again with dates, etc., names/addresses/phone numbers of all
physicians/surgeons I've ever seen and why, family health history, current
medications with daily amounts...
I wrote a paragraph or two about each type of WLS procedure that I'd
researched and what I understood about it. Then I wrote about WHY I had
chosen the procedure I chose.
I wrote a whole page about what I understood about Obesity, Nutrition, and
clearly stated what my expectations about the surgery were and how the
surgery would ALTER my life forevermore.
I assembled all of this together in a folder, bound it with a comb binder
and presented it to the surgeon.
Being educated, knowledgable, and responsible for your choices goes a LONG
way.....
The surgeon was greatly impressed and kept my book.
Three days later I had all of my required testing done in one day (blood,
xrays, gallbladdar ultrasound, mammogram, EKG, Pulmonary Function test)
Two days later I had Pre-Certification from BC/BS Texas....
Cathy Jamieson
— Cathy J.
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