Disappointed with PS consult! (m)
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|Wed, 03-26-2003 - 10:46am|
She did take my pics and told me I could safely go down to a small to full C, since I am a DD or DDD. But when I asked her about the ins, right away she got loud and said I don't handle that and I know nothing about it, you'll have to speak to Belinda about it! Shouldn't a ps know something about how the ins co's work?..I would think so, atleast enough to inform HER patients! Belinda is not doing my surgery, she is! (well probably not now!)...
So as for the ins info. When I called to set up my consult over a whole month ago, they said to fill out their paperwork and bring in my referral from my pcp. So that's what I did. Both my obgyn and pcp referred me to have breast reduction surgery. The obgyn was oral and the pcp was written. Both are accepted by my ins co. But now they (ps office) are telling me I need letters from both my obgyn and pcp stating the reasons for having it done and why it's considered "medically neccesary."....She said they can't do the letter because they are the operating doctor. I don't understand that. From the others I've read on the board, the ps does the pre-determination letter. Am I right?...Has anyone else needed letters like this?...
So I am back to square one. Had they told me this a month ago I could have probably had the letters already. Since I'd already seen both of them prior! But now I have to wait even longer to get the letters. She said after she faxes everything to the ins co, it should take 2-4 weeks to find out, even though when I first called they told me 12-14 weeks!
All in all, I am sad at the way yesterday turned out. Luckily I got 2 referrals from my pcp and I am now seeking out the other ps. I have a consult with him April 15th! His office told me on the phone that all I should need is the written referral from my pcp. Both my pcp and the ps are friends, so that may help, they happen to be in the same bldg too! The new ps office took all my ins information and said they would contact them before hand to find out exactly everything I need to get and she would let me know. But I will also be calling them this afternoon to find out what I need to have done.
I have already called the obgyn and pcp to ask them to go ahead and write letters for me, just in case, and I figure it may help me out in the long run.
Belinda, the ins lady yesterday also told me that all ins co deny anyone who is more than 20% overweight. Has anyone heard this before? I know there are several others on this board about the same height/weight as me. 5-4 200lbs. I realize I'm overweight, but except for my chest, I carry it all in my lower half.
Since I have now written a book....lol...well anyways that's how my day went, I sure hope the next consult is better!!