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Old 07-02-2008, 12:20 PM   #6 (permalink)
jenn75
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Join Date: May 2008
Location: Pittsburgh, PA
Surgeon: Dr. Michael Felix
Start Weight: 240
Current Weight: 154
Goal Weight: 150
Surgery Date: 01/29/2009
Age: 34
Posts: 759
Blog Entries: 5
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Quote:
Originally Posted by SueRN View Post
I can't speak for all insurance companies, but as long as there is documentations that you spoke about diet, weight loss, exercise, etc for a 6 month period-seeing your PCP once a month, we don't give a rats ass what else is in the documentation or what they billed for. Why wouldn't any normal person talk about other issues when they are at the doctor and are already there? Some employers choose to exclude weight loss visits (but they will pay for WLS...go figure). Don't ask the surgeon's office what your insurance company needs....ask your insurance company directly. They are the ones who will be reviewing what the doctor sends them. 10 people can have the same insurance company, they they could each have a different plan that their employer purchased and have add'l rules and guidelines. Hope this helps. Sue

Thanks so much! That is very reassuring. I thought it seemed rather extreme. It was only one visit. Plus, what if some medical issue came up in between visits. Are they going to want me to go to the doc TWO different times and pay TWICE? Doesn't make sense!
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