JennaM

I called my ins for a referal to get my psyc eval, and was told they won;t cover pre op psyc evals. I don't know what to do. I can't afford to pay out of pocket. I have an appt to have my gallbladder us on tues. Thats the last thing on my list 'sides the eval. Does anyone have any ideas? I have Health Net

watergirl

Yes! I was told specifically by Leslie in Dr. Callery's office to state that "I have food issues" to discuss with a psyc. and not to say that it's pre op because they won't cover it if you say pre op.

Worse case, you pay for it yourself. It will all be worth it in the long run.

Good luck to you! Keep us posted.

__________________
Kim
On the road of life, it's not where you go, but who's by your side that makes the difference.

Wherever you go....there you are.

Wrinkles only go where the smiles have been. - Jimmy Buffett

Lap RNY 8.9.04
266/130
Start BMI 41.6
Current BMI 19.9 I'm finally NORMAL! No longer Morbidly Obese, Obese or Overweight!

Myspace: My URL
http://www.myspace.com/h2o_woman

Christina

Jenna,

I went round and round with my insurance company about this subject. It took a bit longer for me, but finally they approved it. Fist I was told to call on the back of my card and get a consult. So I called the 800 # on the back of my insurance card, then they told me no way we don't do pre-op evals. So then I called my Insurance company back and explained to them what was going on and they denied it, then they finally approved it but I would have to go for something like 3 months or something it was rediculous.. I kept fighting and finally had my Doctor send over a new referral after calling Dr. Paintel (the Dr. I saw) and they got the ICD.9 (Diagnosis) code and faxed over a new referral and it was approved. You may want to try it that way.. if you have any questions please private message me as I remember this stage way too well. It sucks but you'll get through it I promise.

__________________
Christina
Open RNY 03/31/2004
274/128/137 (131 Per Dr. C)
BMI: 47 / 22

"There's nothing noble in being superior to your fellow men. True nobility is being superior to your former self." - Ernest Miller Hemingway

"Obstacles are those frightful things you see when you take your eyes off your goal." - Henry Ford

JennaM

Well that sure was easy, I have an appt tommorrow. I did what ya'll suggested and it worked. Thanks so much. Woo hoo!! We're getting there.

Karen Wright

__________________
~Karen
Open RNY 04/13/04
313/230/158 (still pushing for that goal!)

"Don't take yourself so darn seriously!" Rule # 62

JennaM

Wow taht was painless. I had my eval today with Dr John Ward in San Marcos, he was cool. Said he would get the letter out by the end of the week. Tommorrow is my Gallbladder US, last thing on my to do list woohoo

Christina

Jenna,

Congrats on getting through this process.. it's a pain in the butt but it is so worth it in the end.. Also all the crap we go through.. makes us appreciate it even that much more and make us want to stay on track.. well at least that is my experience anyway I guess I can't speak for everyone..

__________________
Christina
Open RNY 03/31/2004
274/128/137 (131 Per Dr. C)
BMI: 47 / 22

"There's nothing noble in being superior to your fellow men. True nobility is being superior to your former self." - Ernest Miller Hemingway

"Obstacles are those frightful things you see when you take your eyes off your goal." - Henry Ford

cha cha

How much did they charge you for the letter? I was told over the phone that they could charge up to $50.00 a page? Is that right?

sandi

__________________

Sandi
7/13/04
open RNY by Dr. Callery
And the roller coaster ride has begun!

~Starting/current/goal~
~422/208/180~

Starting BMI 68.1~ current BMI 33.6

Weight loss as of today - 214 pounds -
Double Century Club... I HAVE ARRIVED!!!

http://tickers.TickerFactory.com/ezt...77d/weight.png

*Progress~not perfection*

Christina

There was no charge for the letter from Dr. Paintel. I paid my $10.00 office copay and the rest was history..

__________________
Christina
Open RNY 03/31/2004
274/128/137 (131 Per Dr. C)
BMI: 47 / 22

"There's nothing noble in being superior to your fellow men. True nobility is being superior to your former self." - Ernest Miller Hemingway

"Obstacles are those frightful things you see when you take your eyes off your goal." - Henry Ford