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Group Health Cooperative Insurance experience??

Changes

By Changes, in Insurance & Financing

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Changes    0

Changes
Posted

Hello, I'm new to the forum and just starting the process of being considered for the surgery with my insurance. I was wondering if anyone has GHC in WA and could maybe give me some insight as to how their approval, or disapproval, went and what the considerations are. I have called the insurance company twice, but they keep telling me I have to talk to the doctors. Anyone have any tips that have worked with this insurance?

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MelindaH    3

MelindaH
Posted

Hello, I'm new to the forum and just starting the process of being considered for the surgery with my insurance. I was wondering if anyone has GHC in WA and could maybe give me some insight as to how their approval, or disapproval, went and what the considerations are. I have called the insurance company twice, but they keep telling me I have to talk to the doctors. Anyone have any tips that have worked with this insurance?

I would call back and ask to speak to a manager if they do not divulge information. Also, ask for a benefits book through your human resources. Another option might be to google it.

Good luck and welcome to our forum,

Melinda

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Changes    0

Changes
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Since there aren't a lot of people on here to seem to have dealt with ghc in WA, I guess I'll share my experience so far. I received approval for the bariatric surgery case management program. I have an intake interview with the nurse (phone interview) on Tuesday. I have received a check-list which I need to complete (I think within 3 months) which includes enrolling in Accomplish, completing the pre-surgery testing, talk to my pcp about contraception, and attending weight loss support groups through ghc. I will get more answers on Tuesday as to which tests I have to have done and when those will be done. I received information in the mail today about Accomplish, which is their pre & post weight loss program/nutrition program. Everything with Accomplish is done over the phone which is nice since I live an hour away from the clinic, but feels a little impersonal. Oh well. I am ready and willing to do whatever it is they require to get approved for the surgery. I am trying to stay positive and keep all the steps straight in my head. I am assuming that after I talk to the nurse Tuesday I will have a better idea of what to expect. I will keep an update here in case anyone else uses this insurance and has questions. I should point out that I have PEBB GHC.

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Go To Topic Listing Insurance & Financing

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      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
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    • BeanitoDiego

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      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
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    • BeanitoDiego

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    • ChunkCat

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    • BeanitoDiego

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      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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