I just found your post as I am also looking at a DS with FEPBLUE (Standard).  Did you ever get any information?

My husband's job was eliminated-COBRA ends in August. We're being told that I cannot get coverage through any of the major insurance companies because I've had WLS.  I had Roue-en-Y in Oct of 2001--no complications-have just kept of 130 lbs for 11 years. Had a full physical this month.  No prescription meds-no health problems other than borderline high cholesterol and I was told to take OTC krill oil to bring it down, not RX statins.

 

Would I have the surgery again? Yes-just wish I had known this would be one of the results. If you don't disclose the surgery and they find out they drop you anyway.

 

Now I go into temporary insurance until January and pray that Obamacare kicks in.

Hi all I am so frustrated with the pre-certification department for Aetna through my companies insurance. I am a nurse,so I get the needing everything in order quite honestly! I have done all my question asking to the benefit dept etc and have been advised from them to get my bypass done this year d/t all out of pocket and deductibles being met already ,so I have been going like mad fire to get everything in order. Surgeon,sleep study, letters of recommendation from all my current Dr.'s etc! You name it I got it and if I don't I can get it in 24 hours or less, this is exciting of course. You say then what's the problem? Well the surgeon asks about this medically supervised diet and I'm like a what so I call Aetna to confirm and they can't decide out of 4 calls what the rule is in regards to this criteria?? I ask for a copy of these criteria's and well you know it's against company policy so she then states I can go on Aetna's website and pull up the clinical bulletin and it's all there and basically says you can do the 6 month supervised or the 3 month Multi disciplinary surgical preparatory regimen. My questions after this long winded story are #1 has anyone been through this with Aetna and #2 is the surgeon/nutritionist/psychiatrist combo enough for the 3 months??? Thanks all for reading my long winded story.
Jen

I have nj family are and they are covering a revision 100% for me. Good luck!

Hi, Going for my initial consult for wls. I have BCBS NC Blue Medicare PPO. I know that BCBS NC covers the hospital aspect of wls. My question is for the Medicare part of the coverage. I have a BMI of 36 and a co-morbidity of OSA. I know medicare requires a 6 month dr. supervised weight loss program. I was wondering what their weight record requirement it 2 or 5 years or any? Has anyone gone through wls and had medicare? I have not found very much information regarding bariatric surgery and medicare, so if anyone can help guide me through this process, I would appreciate it!

Thanks,

Demi