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Tasia29

Gastric Bypass Patients
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Everything posted by Tasia29

  1. Hello, I started my journey the beginning of last year. I am planning to have gastric bypass. Last year when I started my previous insurance (UnitedHealthCare) required 6 month supervised diet. I completed 5 out of six before I decided that at that time not to go forward with the surgery. After a few months I've finally made the decision to have gastric bypass and restart my weight loss journey. I now have new insurance which is PHCS. I called my insurance to make sure the surgery would be covered and it is covered and my surgeon and hospital are in network with my insurance. I asked them what the requirements were in order to be approved. I was told the only requirement is that the surgery has to be medically necessary. So I guess my question is after my doctor submits my documents to insurance how long does it usually take to get an answer? Also i really never heard of insurance companies only wanting proof of it being medically necessary. I thought for sure that I would have to redo my 6 month supervised diet. Does anyone else on here have insurance where the only requirement is it to be medically necessary? Does this make it easier or more difficult to be approved? I meet with my surgeon again on Jan. 25th! I'm really excited to get started again!!

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