Valerie,
Thanks so much for all your help! I really appreciate that it. I spoke to a lady today with my ins. I explained to her that the Dr wanted $250 for his consultation and part of that money would cover getting approval from my ins comp. I further explained that $250 was a lot of money to spend not knowing if it would even cover the surgery. Also that my handbook does not make mention of any exclusions for WLS of any kind. She told me to send her the CPT codes for both surgeries (LBS and LapGBS) and she would email me back with any exclusions or inclusions as the case may be. Now regarding the $$$. My max copay will be $300. Which will be covered between Dr Jawad and the Nutritionist
and the Psych eval. Not to mention all the office visits @$30 bucks each. Max out of pocket is $3K after that ins pays 100%.
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Gina
GBS Seminar 04/12/08-Done
Psych Exam 08/11/08- Done
Final Sleep Study 08/12/08- Done
Consult w/Pulminologist 08/21/08- Done
Gall Bladder Ultrasound 08/22/08- Done
Consult w/WLS 08/29/08- Done
End 6-month diet - 09/08/08- Done
Nutritionist 09/23/08- Done
Cardiac Clearance 10/08/08- Done
All documents corrected & re-sent to WLS 11/07/08- Done
Waiting for Insurance Approval
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