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Posts posted by erp
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I have called my insurance (Healthnet h,m,o) and they cover WLS but have several conditions that worry me. first they require all procedures to go through their Bariatric Centers. Has anyone heard of these, dealt with them. Second, they only cover the lap-band or gastric bypass UNLESS some how the doctor proves that the sleeve is medically necessary. Does anyone know how to prove the sleeve is necessary and conversley that these other forms are WLS would be contra-indicated? I really only want the sleeve after doing my research. Lastly, does anyone with Healthnet *** know what the steps are to their approval process. I couldn't figure out if they require dieting, nutrition counseling, classes, etc. thank you!
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thank you for asking that! i go to a new PCP on wednesday and an so nervous that the PCP will create hurdles rather than clear them out of my way. I have an *** so have to get a referral.
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I want to walk without getting tired, dance without getting winded after 2 minutes, and feel comfortable in my own skin.
Denied...but Yet Approved
in PRE-Operation Weight Loss Surgery Q&A
Posted
My insurance does not cover the sleeve, only band or bypass. However, I have called into them before and they have implied that if my doctor can prove that sleeve is medically necessary, then they will approve it.