blessedgirl80
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Posts posted by blessedgirl80
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The doctor office told me 6 month and insurance verified that I only needed 3 months. My policy was unique to my employer. I have Anthem BCBS their standard policy is 6 months of visits. The lady at the doctor office said she never heard of it. So I had the insurance company send a verification letter to me and I forwarded to the doctors office.
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If it was a scam the insurance company wouldn't pay. #FACTS
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Right the deductible doesn't but if you paid any copays that should count. Once u find out the contracted rate u will have a better idea. Try getting the procedure codes from your doctors office and call the insurance company. I don't want to give u any inaccurate information.
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Have you met any portion of your deductible? It should be any unmet portion of your deductible and 25% of the contracted rate for that procedure not to exceed your out of pocket maximum . I would find out what the contracted rate is. Some policies have hospital copays etc. Hopefully your out of pocket Max isn't that high.
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Don't forget it's not all about losing pounds. You can still lose inches without moving the scale. It's good to measure your waist etc every now and again.
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All policies are not the same. Your employer has the option to include or exclude weight loss surgery.
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I have BCBS Anthem does not required supervised weight loss. But 6 months of attempts in the last 2 years. The doctor has to review info, approve and forward everything to the insurance company .
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Leave denial from work?
in General Weight Loss Surgery Discussions
Posted · Edited by blessedgirl80
My employer offers extended FMLA . However the law allows 12 weeks . Contact HR and see if they offer extended FMLA. If not look into a leave of absence..