Recent Posts

PNGmom
on 10/21/13 2:19 am - Port Neches, TX
Topic: RE: Aetna Insurance - 2 year history of BMI

I would try anything. Just send it in to see what they say. I know I had to send the last 2 years of weight as a requirement but

what do you have to loose.  I am still waiting on approval myself. Hopefully sometime this week. Good Luck!

pharmagirl_45
on 10/21/13 12:33 am - NJ
VSG on 01/14/14 with
Topic: Cigna - Still Pending!

My paperwork was submitted on Oct 9th and I just called Cigna and it is still pending!  She said that it normally takes about 15 days for approval! 

     VSG on 1/14/14 with Dr. Samuel Wasser

    

    
Beautiful_Confident
on 10/20/13 2:37 pm
Topic: RE: Five year documented weight history question
I am in the process of approval. My insurance required 5 year history also (BCBS Tennessee). I needed weights from 09-13, but I only had '10, '12 and '13. Luckily, I found a fitnessgram I did in high school back in '08. My Dr.s office explained how the majority of teenagers or young adults really never go to the dr unless something is wrong. My case manager ended up waiving the weight requirement for me. Unfortunately, I'm still waiting due to my psych not scoring my test and including it in the notes! THEN he had the nerve to go to Austria for a month! THE NERVE! Good luck, it is possible
pharmagirl_45
on 10/20/13 10:55 am - NJ
VSG on 01/14/14 with
Topic: RE: Medically Supervised Weight Management Requirement - Cigna

I have Cigna and had to go through the 3 months of supervised weight programs.  I had to see a NUT for three months but didn't have to loss weight.  I started seeing her back on July 12 and my last appt. was Oct 3rd.  I am now waiting for approval.  Good luck to you.

     VSG on 1/14/14 with Dr. Samuel Wasser

    

    
Stacy Sikes
on 10/20/13 6:50 am - OR
Topic: RE: United Healthcare Choice Plus

I was a bit confused when I called my own insurance company on what they needed or wanted. So, what I did was contacted the place I wanted to do my WLS- they set up everything for me, helped me get all the paperwork for the insurance company, set up all the appointments I needed before I would be approved, got all my paperwork together and sent it to my insurance company. They did it all for me and in less than 2 months I am approved and will set surgery date on this wed.  so perhaps that would help if you had professional WLS place assist you.

 

Stacy Sikes
on 10/20/13 6:42 am - OR
Topic: RE: Five year documented weight history question

I also had to have 5 years back on weight, I had 5 years, 2  years, 1 year and of course current. I did not have the years for 3 and 4. The insurance company approved it even missing those years due to the fact I just didn't go to the doctor. Perhaps see what you can get if possible since you did stated it was a couple of years ago you did not have insurance.. but did you have it back say 3, 4 or 5 years back??   It is worth a try.. Hope it helps..

 

 

 

Stacy Sikes
on 10/20/13 6:37 am - OR
Topic: RE: Denied-for the second time

I have UHC Insurance in Oregon through my employer. I started this less than two months ago, I had a lot of hoops to jump through for my Surgeon,(I had to see a Cardiologist, Therapist, Nutritionist, Endocrinologists, and sleep study)   but my insurance only required 5 years paper work showing that I have been heavy for the past 5 years.   I was approved this past Friday and on Wed I set up my surgery date. I am so sorry you are having so much trouble with the insurance company. I just don't understand how UHC has so many different rules depending on state and employer that the health plan is under. Seems same insurance company would have the same rules.

 

hevnbnd
on 10/20/13 6:15 am
Topic: UHC

Im a City of OKC employee, and Im covered by UHC health Ins. There is an exclusion on policy for weight loss surgery. Ins will pay for everything leading up to surgery, but not the surgery itself. Its open enrollment at this time and I was thinking about switching over to BCBS but Im not able to afford all the deductibles. Can this exclusion with UHC be appealed? When I called UHC, a rep told me that surgery wasnt covered but it all depends on how doctor "words" it.....(didnt quite get that one)

Any suggestions on how to deal with this?

 

Thanks in Advance

uglymouse
on 10/20/13 2:04 am - newnan, GA
Topic: RE: Denied-for the second time
I will submit my paperwork on November 5th.

kitkat88
on 10/20/13 2:02 am - Metairie, LA
RNY on 11/18/13
Topic: RE: Denied-for the second time

How long did it take to get approval

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