PacifiCare HMO of CA anyone?

I was approved for a consultation with the surgeon, I have attended the informational seminar and I have consultation with the surgeon July 2nd. Can anyone tell me what to expect when dealing with PacifiCare?

In 2004 they paid for my Band. In 2005 they dropped the coverage in MY area. In 2006 they reinstated it. In 2007 they dropped it again.

We changed carriers to one that DOES cover the Band and follow-up care.

Good luck.

__________________
373/258
"Carpe mañana"
*Oldtimers posse: surgery 12/21/04*

My Quest is Victory over the Dragons of Habit, Gluttony, Sloth, Desperation

How long did it take you to get approved by Pacificare? I have that too, and they're asking me for all kinds of receipts--well, not them, but the physicians' group I'm with. It's been a real pain!

Debbie

__________________
Surgery: February 10th 2009

Dr. Philippe Quilici, Providence St. Joseph Medical Center
Burbank California
Highest known weight: 338
Current weight: 279
goal 170? Maybe?
4.75CC's in a 10CC band

Thread Starter

I have my consult tomorrow so the approval process is just begining for me. I was refered for a consult by my PC. It took about 2 weeks to get approval for consult only, and this was made very clear by the referal letter. I attended the informational meeting in May. I will keep you posted on the progress.

I am waiting for the referral to see the surgeon/consultation. I have already attended the seminar and seen the psych and dietician. I hope they work fast!

The physicians group I was with was bought out by someone so I belong to another one now. I learned this when I went to see my primary care physician on October 14. She resubmitted the paperwork and I got an approval at the end of the week. I scheduled my consult with the surgeon for November 17, but they called me at work last Tuesday to say they had a cancellation for the following day at 11 A.M. So I took it.
I've already had the cardiology exam and psychological evaluation, so I hope I don't have to do those things over again.
I went to a seminar in June.
good luck to everyone.

Debbie

__________________
Surgery: February 10th 2009

Dr. Philippe Quilici, Providence St. Joseph Medical Center
Burbank California
Highest known weight: 338
Current weight: 279
goal 170? Maybe?
4.75CC's in a 10CC band

I just had the surgery 10-24, I started the whole process in december 0f 2007, after I saw the dietician and psych I was approved right away, it took so long because the dr I chose had like a 4 month waiting list, but other than that it went fast, the only setback I had was since I scheduled my surgery like four months ahead, by the time my surgery was only a few weeks away pacificare canceled the contract with the hospital I was scheduled for so I have to wait like 3 more weeks for another hospital ssigment, do just make sure you keep intouch on these issues.