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ReadyForIt128

Pre Op
  • Content Count

    1
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About ReadyForIt128

  • Rank
    Newbie

About Me

  • Gender
    Female
  • City
    Queens
  • State
    NY
  1. Hello everyone :)! I have my first consultation with my surgeon in a little over a month. I cannot wait to get it all started and I'm excited. This is something I thought about and tried to do on my own for years and I feel as though I'm ready to now use vsg as a tool to help me be healthy and happy now at 35 years old. With that being said, I called my insurance twice to make sure (I have Northwell Direct -ppo ) that they will cover all bariatric surgeries (especially vsg in particular) and to see if they have any pre-approval requirements. According to the two people I've called and spoken to, any bariatric surgery I choose is 100% covered since my bmi is 45, including everything associated with the surgery before and after. Also they both claim that there are no requirements on my plan from my insurance company to get do to be approved...(no weighs-in necessary, no 3 month or 6 month programs, no steps to take.) With that being said I'm assuming that it will be all in my surgeons hands, no? Has anyone been told that their insurance only requires a bmi of over 40 or 35 with comorbidites, and than had a surgeon who had minimal requirements? Has anyone had no requirements (besides bmi) from your insurance, but your surgeon still had you on weight monitoring and/or a 6 month plan? Has anyone had no requirements (besides bmi) from your insurance and been fast tracked with your surgeon? I'm sorry for all the questions, I'm just new here and to all of this and through my months of research it seems to be that the standard for vsg is at least getting bloodwork, getting a pysch evaluation, meeting with a nutritionist and a lot of the times getting a sleep study and/or seeing a cardiologist. I have a ppo therefore I don't need pcp approval to see specialists. I'm hoping to get some feedback for others experience since I can't find one article, post or video on the internet about Anyone who has my health insurance and getting bariatric surgery so looking for tips or insight from others under my exact insurance has been a dud. 😕

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