Switching medical coverage questions

TheThr33
on 6/11/13 10:06 am - CA
I'm still pre-op but in the end stages. I have kaiser nor cal and am going through kaiser Richmond. I'm below goal weight and just need to speak with the nut to reactivate (that happens tomorrow afternoon. I had broke my leg and then slacked off and was out of the program for over 6 months) then I assume I have my case manager appointment, at which point I should get a surgery date. The thing is I'm workin two jobs right now. One has kaiser and the other has anthem blue shield (kaiser is not an option) I plan on quitting the job with kaiser an keeping the other. But I still plan to go through with the surgery at kaiser since I've already done all the work with them. So my question is what happens when my kaiser is dropped and I'm only a few months out from surgery? Will a new bariatric surgeon with anthem take me on and do my follow up appointments? Will my pcp? Will I need a referral from my pcp to see a bariatric dr/ nurse? Has any one switched medical coverage while still in the early stages of post opp?
poet_kelly
on 6/11/13 10:31 am - OH

Whether you'll need a referral to a bariatric surgeon or not will depend on your insurance policy.  With my insurance, I don't need a referral to see a specialist, but with many insurance policies, you do.

You can choose to find a new surgeon to do your follow up or you can ask your PCP to take that over for you.  If you're not having any problems, you probably don't need to keep seeing a surgeon.  Your PCP can order your labs, but you may need to give them a list of what to order.  They don't always know what labs we should get.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

TheThr33
on 6/11/13 10:57 am - CA
Thank you for the response. That makes me feel a little less anxious. I was afraid it was going to be a great deal more complicated. But I may have been over thinking things.
Cicerogirl, The PhD
Version

on 6/11/13 11:18 am - OH

Although your PCP can handle ordering lab work for you if (s)he has a list of what to check (a good idea in any event), if you have any kind of trouble or have questions, it would be good to have a surgeon you can contact.  You might be someone who has absolutely no problems and won't need to see a surgeon for follow-up, but you might not...

I would suggest calling some of the surgeons who are covered by the Anthem plan before you have surgery to explain the situation and ask them if they will take on someone *****cently had surgery with another surgeon.  I know that some surgeons do not want to take on someone who is newly post-op where they might have to deal with problems that another surgeon created.   It might depend on how far out you are, so let them know that when you inquire. (Your chances of some complications -- a stricture, for example -- are greater during the first couple of months.) 

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

Most Active
Recent Topics
What's on your Thursday Menu?
Queen JB · 34 replies · 257 views
What's on your Wednesday Menu?
Queen JB · 24 replies · 270 views
What's on your Tuesday Menu?
Queen JB · 24 replies · 314 views
What's on your Monday Menu?
Queen JB · 18 replies · 272 views
×