Question:
Anyone with Great West (One Health Plan) PPO?

   — Amber L. (posted on May 3, 2002)

May 3, 2002
Great West One Health Plan PPO approved my DS with Dr. Rabkin with no problems at all! They were great, very fast and no problems at all with the process. They did require a psych evaluation (not a problem, since my surgeon also required it), and they accepted Dr. Rabkin's request for authorization which outlined my stats and co-morbid conditions with no problems at all. Good luck to you! Hope everything goes smoothly.
   — mmagruder

May 4, 2002
I currently have GenAm/GreatWest PPO and they denied me after my first letter stating a lack of underlying medical complications/disease. I'm 200lbs overweight and have many co-morbs. So far they are asking for a fight so I wish you good luck. I've heard different things about this company and it seems to vary state to state. I'm in Illinois so hope this helps!
   — Christie N.

May 4, 2002
Hi there!!! I have Great-West "One Health Plan" PPO out of New Jersey. I am currently in the appeal process with them. They denied me for my age (23) and they want 4 years of medically supervised diet with "charts and tables". They added these stipulations after I had inquired about the approval guidlines. I really guess it luck of the draw with these people-you get diffrent answers everytime. My BMI is 59.9, and I have a few co-morbidies ( and being only 23, these will become worst with age ). What I would do is give them a call, and ask them what is the criteria to meet, get that persons name, and have them fax that to you AFTER they tell you. That way, when do see a surgeon, that might help you along with the approval process. GOOD LUCK!!! :-)
   — hrussinko

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