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Sue Magoo

Gastric Sleeve Patients
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Posts posted by Sue Magoo


  1. Hello:

    I'm considering gastric bypass. My insurance is changing effective 12/1/16 to Blue Cross Blue Shield Massachusetts PPO. I know that bariatric surgery is covered, but I cannot tell what the requirements will be. Anybody know?

    Thanks for your help. I'd like to know now, but if nobody knows, I can find out for sure once I get my insurance card.

    Thanks.

    Sue


  2. ERNJN: I'm not sure about that. I believe that my surgeon wanted to give me time to heal and recover from the surgery and post-op infection. It was quite draining. After that he did some testing and I was unable to get the sleeve because I have gastroparesis. They can do bypass, but I'm afraid to get that done. I'm struggling with my weight, and need to lose 70 pounds. I've taken off 23 pounds since November, so slow, but steady. Best wishes to you. Please post updates to let us know how you are doing. Good luck!

    Sorry to hear about the infection post-op, Sue. I'm also having my band removed due to erosion in April -- I'm worried about the recovery as the surgeon is going to convert me to a sleeve.

    Is it standard to recommend 6 mo. healing before the sleeve procedure is done? My surgeon seemed confident in doing it all at once.


  3. Hi everyone. I am guessing that because this procedure was just recently approved in the United States that it's not being covered by any medical insurance plans yet, but I could be wrong. Does anybody know the answer? Does anybody know the cost that's being quoted?

    Please share what you know.

    Thanks.

    Sue


  4. Hello:

    Please do call your insurance company and you may want to speak with the insurance expert in your surgeon's group too. Many hospitals make arrangements with insurance companies with pre-determined rates that will be reimbursed for particular procedures and if approved, the hospital has to accept that amount as payment in full, and they adjust off the difference. I hope that is what is happening here.

    Good luck, and please let us know so that we can learn from your experience.

    Sue


  5. Some insurance will cover if it's medically necessary - repeated rashes, etc. Most won't cover for just cosmetic reasons. I had mine covered by BCBS several years ago after having repeated rashes, embarrassing pics sent by doctor, etc.

    It really depends on your specific insurance plan as they vary tremendously.

    Good luck!

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