dandylion_23

Messing with insurance stressed me out so I did a online consultation with a Dr in Mexico and am self paying for it! No fuss it's easy and around 5000 dollars! I've had two friends go to this Dr and had wonderful experiences.

But she said with the 6 month weight management you have to be able to prove you can lose some weight. Is that right?

Ya they said it says absolutely nothing in our benefits. Only that it covers the surgery and has to be submitted for pre auth. The guy said maybe after pre auth it shows something but couldn't be sure. So, I had an appointment with physician today and she thinks (just because of other patients with the same employer)that a 6month weight management program is required. I hope that's not the case. My deductible and everything is met so this yr would be fantastic!

My husband is calling right now to see if he can find out.

My dr is out of Salt Lake City, Utah.

I am confident in the surgeon I chose. I've already done the seminar and filled out their "survey". He has agreed to see me and in our area he's the best. He is also in our network as far as insurance goes. I understand everything I have to do on the Dr's end. It's the insurance I can't seem to get a clear answer from. They do cover bariatric surgeries but I can't find out what their requirements are that I need to meet. The clinic I'm going to has an insurance coordinator so I'm sure she can find it all out. My appointment isn't for another month and would rather not wait that long just to find out my insurance requirements, you know. I'll call them again tomorrow. Maybe I'll get someone interested in helping me this next time.

I was scared to death to tell my mom because I was afraid of her reaction. I told her the other day and immediately she got a negative tone. I shut her down and told her I needed her to listen. I explained the differences in the surgeries and then told her which I had chosen. I started crying as this is a very emotional subject for me and she now agrees that this is what needs to be done. I, like you, only have a handful of people I feel I can share with without negativity. My mom doesn't want to tell anyone either. Maybe she's embarrassed of me! Good luck! She'll come around!

Anthem Blue Cross Blue Shield. My husband's job has an amazing plan. We had them privately before and through another employer and it was the worst insurance ever! Not through this company though.

Thank you. It does. I've talked to 3 people and 1 girl told me where to look at our benefits but I couldn't find it. Another lady told me she couldn't give me the info and that the office needed to send in for authorization to get the info. That didn't make sense to me. We have GREAT insurance so I hope it's good enough with just my bmi without having to show proof of my failed attempts. Is PCOS a valid reason along with a high bmi?

Hi all! After several attempts to lose weight with pills, insane diets, clean eating and thousands of dollars later spent on beachbody products, I have decided to get help. I feel this is my only option left. I am 5'3 and 268lbs (my heaviest) at 33yrs of age. I have done my research and I'm ready to change!

I have PCOS and I'm sure I have type 2 diabetes. My bmi is at 44 or so. Both sides of my family have a history of diabetes. About 3 1/2 yrs ago I was on the verge and was put on metformin for the PCOS. I was at least 40lbs lighter at that point. Anyways, my insurance covers bariatric surgery but has to be submitted for authorization. So therefore, they can't tell me exactly what requirements have to be met. I've heard some insurances make you wait 6months to make sure it's necessary? Am I right on that? Are there any cases where the insurance doesn't do that? My consultation with the surgeon is May 21st. How long has the process been for others as far as from the day of that first consultation to surgery?

Any and all info is appreciated!

I'm new too. 5'3 268. My first consultation with the surgeon is set for May 21st.