Ok OH team I need your help! come in Bosley.. Oh did I reveal my age?
I would find out IN WRITING what the insurance company requires. If it is a year before they consider this than see if you can do your 6 month diet, etc in that year's time. But be sure you talk to people who will listen to you. If you don't like the person's attitude ask for a supervisor. And, yes, marching into you PCP office and asking for a referal to a bariatric clinic is NOT too bold a statement. I did it with mine. I just explained that I had tried enough other stuff and wanted to move forward with surgery. He was completely supportive and is now amazed by how well I am doing. I wish you the best of luck on your journey! We're so glad to have you in the OH family.
I am a bold kind of person, so I thought I would clear my idea here on OH before I did something that might delay this surgery. I really appreciate your idea. I didn't know that you could ask for something like that in writing. In our insurance as far as I know it says no weight loss surgery... etc. but when I called she told me atleast 1 year blah blah.. Thanks for your support I really appreciate the family and support I find here at OH.. Best Wishes Banu

Hi I have BCBS HMO of IL and the approval was quick and speedy. I had to call the insurance company because my pcp did not want me to have this surgery. After telling the insurace company all the weight related illnesses i had they said that I qualified for weight loss surgery and they needed a letter from my doctor stating that I had those issues and proof that I have had tried dieting before. After they recieved the letter my PCP call me with a surgeon name to make the appt.
NO way! I am shocked. one of my fears is that my PC will say no way and then I'll have to buy my ticket for Mexico (JOKE) Wow I am so happy to hear that you have HMO and that you got your surgery. I havent really been to the doctor in years (before no insurance, later too scared) so I am not sure if I have or what Co morbid problems I have. I am sure some. Maybe even borderline diabetes. Sleep apnea.... Wow thanks for your response it really motivates me. Which surgery did you choose and has your pre surgery issues resolved or do you still have health issues? Best Wishes for you and a million thank U's Banu

Hello Banu,
I have bcbc of il ppo. Never did know the diffrence between the 2. On mine I have to do a 6 month diet, have a refferal to a surgeon ,see NUT and have a pysch eval. Plus a couple other small things. Ive never heard of them making anyone wait a yr before they can get started. Like everyone else said call back and ask them what the first step you need to do is. and also ask what their critera is , and have them send it to you in writing.
Wow that is great you have insurance. But, each company will have it own policy. That's where they get you. Do call back, ask what your policy say are the acceptable requirements for Gastric Bypass.
Do you have HR personel that works at yours or your hubby's company, call them. alot of times they will help you get answers. Let me know if I can help.
Barb

I am really so afraid to call them and get them 'bothered" I want things to go smoothly. I thought if I called HR that possible it could effect my husbands work... (you know it's not suppose to but) I mean do you think they will be happy to hear that I want GB It will effect their rates won't it? Oh I am not sure I can do this... but let me think about it. Thanks for the wonderful advice. I really love you all her at OH what would I do without you! Best Wishes Banu
