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Tobeornottobe

Gastric Sleeve Patients
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Posts posted by Tobeornottobe


  1. Blue Cross Blue Shield - http://www.bcbs.com/

    Anthem Blue Cross Blue Shield - https://www.anthem.com/health-insurance/home/overview

    Aetna - https://www.aetna.com/individuals-families/buy-health-insurance-from-aetna.html

    Cigna - http://www.cigna.com/

    United Healthcare - http://www.uhc.com/

    Kaiser - https://healthy.kaiserpermanente.org/html/kaiser/index.shtml

    I don't know what state you are in but Kaiser is only in specific areas.

    Good luck.


  2. I'm confused. Do you have coverage through an employer or through the healthcare exchange? If its through the employer, the employer has probably chosen to opt out. If this via the state exchange, you may live in a state that excludes bariatric surgery as a necessity. If your employer has opted out, suggest talking to your benefits manager. If your state excludes contact the department of insurance in your particular state and appeal your case.


  3. Is your insurance through a state health insurance exchange? I know there are several states that deem this type of surgery as not being a medical necessity. I'm also aware that Humana does offer the surgery.

    You do have the right to file a grievance or appeal. You can do this straight to the particular state's department of insurance.

    I don't know if this information will help or not but it's worth a shot.


  4. It may not be an insurance company issue but an employer issue. Bariatric surgery is not considered a necessity and employers can opt out.

    Who is your current insurance company?

    My Insurance Company does not cover Bariatric Surgery. My PCP sent them a letter of Medical Necessity, as well as my Suergeon's Bariatric Coordinator reaching out to them. I need some tips on getting them to listen, or any other Insurance Companies, that cover Bariatric Surgery.


  5. Most insurance plans cover it. Bariatric surgery is optional so employers can opt out. You can contact an insurance broker or check the health insurance exchange (healthcare.gov) for what you need. Pricing will vary depending on insurance company and options. Deductibles also vary.

    So to that end, what information are you looking for exactly?

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