Question:
I was wonder if anyones insurance has paid for VSG?
If so, do you mind telling what kind of insurance you have and how was it approved? ~~Thanks, Rebecca — Rebecca B. (posted on May 9, 2008)
May 9, 2008
I do know it's starting to get approved more and more. You will probably
get more responses if you ask this on the VSG forum, as I know there are
some there who got approved. Good luck to you!!
— Teresa V.
May 9, 2008
I understand, but remember that I had a RNY, that until this process is a
10 years old and there is safe history for insurance companies they will
not approve this proceedure. It is not that it is not safe, they just lack
the data to that the liability of down the road events. Best of success to
you.
— William (Bill) wmil
May 10, 2008
It's tough, Rebecca. I'm in the middle of the appeal process with MA BC/BS
PPO, and both my surgeon and my physician sent loads of documentation why
this is better for me. I can't have the RNY because of calcium oxalate
kidney stones, and we're reluctant to do the Lap-Band because I've recently
been having allergic reactions to loads of stuff and we don't know if I'd
be one of the few that would react to the stuff the Lap-Band's made of.
They denied me despite that, so the docs have sent off pages and pages of
documentation and reasons. That was 2 weeks ago, and we're awaiting their
decision. From what I've researched, discussed with others, and learned
from my WLS meetings and OH sites it seems you just have to document
EVERYTHING you can and hope for the best. That being said, if mine is
approved I'd only be the 3rd one in their practice that's been approved.
But some do, so it's woth trying! Good Luck!
— obeseforever
May 12, 2008
I have not had my consult so I don't have my approval yet, but I did call
my insur co w/the exact insurance code to make sure they allow it. They
do, so now I have to just wait and see if they approve ME! I got the code
on OH from somebody's profile (sorry, I can't remember where or what it
was), but you can also call your dr's office and ask them for the code they
would submit for a VSG, then call the insur co and ask them about what all
they require. HTH!
— HaloEcho
May 12, 2008
Yes. BC/BS PPO if Michigan
— datagirl2
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