Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

So my scheduled date is 4/25. I have GHI/Empire BCBS

I am actually having the surgery where I work. So i called the finance person today, and she told me she submitted the paperwork, just waiting to hear back from them. I have been doing the 6 months medically supervised visits, have done most of my pre-op testing. And it dawned on me...what if they deny me. I know my mom would be ecstatic b/c she doesn't want me to do it. But I have been mentally psyching myself up to do this and i am READY.

I am 33 y/o, starting weight of 343lbs now at about 318lbs, I have GERD, moderate to high cholesterol and joint pain, but no serious medical complications ( diabetes, etc) What is the likelihood that I can be denied. HELPPPPPPPP :(

Share this post


Link to post
Share on other sites

It all depends on the requirements set by your insurance... If you meet all of the criteria, then there shouldn't be any issues... Each plan is different based on what the EMPLOYER has chosen... So in most cases, a plan will not be the same from person to person unless it's the same employer or a specific type of insurance plan that most companies do not have except mom and pop businesses... Sounds like you already have everything in order... ;)

Good luck!!

Share this post


Link to post
Share on other sites

You sound like everything will be all good. Make sure you do all your surgeon says to. It is just nerve wracking waiting for the approval. I called my doctor's office many times to check and make sure they didn't forget about me cause I was paranoid!

Share this post


Link to post
Share on other sites

And you know what- everything has a time and purpose- so if you are denied- there was a reason! But if you are accepted which by what you have said - you meet all requirements- why would they deny you? Keep your focus about you and aim for your goals!!

Share this post


Link to post
Share on other sites

I know exactly how you feel... I'm at the end of my 3 month supervised visits and will be submitting paperwork to insurance on the 11th. I have that same state of panic like you! "What if I get denied?" However, my patient advocate at my surgeon's office is so sweet and a go-getter and she told me if they give her any push back about approving me, she's gonna open a can of Whoop Ass on them and make sure it gets approved. She assured me that I meet all the requirements for insurance that should be no reason for a denial or even any push back.... She has assured me and my state of panic that everything will be ok and I'll get the approval!! My tentive surgery is 4/26!

Share this post


Link to post
Share on other sites

I was denied briefly as one piece of paperwork hadn't been included in the final packet sent off to Cigna. I had a mini-stroke, but it was faxed and all was well in a couple of days. Sounds like you're normal----anxiously waiting! Good luck!

Thanks everyone...i guess i am just obsessing over everything and anything that can go wrong. Will keep u guys posted

Share this post


Link to post
Share on other sites

well today, amidst the chaos of JCAHO (my fellow healthcare workers know about this), and day one of my liquid diet. (talk about a double whammy) rolleyes.gif i found out i was APPROVED ohmy.gifbiggrin.gif

So i have the worst headache ever...but i am happy, nervous, scared and anxious all rolled into one....oh yeah add nauseous

but April 11th is the day!

Share this post


Link to post
Share on other sites

well today, amidst the chaos of JCAHO (my fellow healthcare workers know about this), and day one of my liquid diet. (talk about a double whammy) rolleyes.gif i found out i was APPROVED ohmy.gifbiggrin.gif

So i have the worst headache ever...but i am happy, nervous, scared and anxious all rolled into one....oh yeah add nauseous

but April 11th is the day!

CONGRATS! I know how relieved you must feel! I was just approved last week and I felt the same way!

Share this post


Link to post
Share on other sites

So my scheduled date is 4/25. I have GHI/Empire BCBS

I am actually having the surgery where I work. So i called the finance person today, and she told me she submitted the paperwork, just waiting to hear back from them. I have been doing the 6 months medically supervised visits, have done most of my pre-op testing. And it dawned on me...what if they deny me. I know my mom would be ecstatic b/c she doesn't want me to do it. But I have been mentally psyching myself up to do this and i am READY.

I am 33 y/o, starting weight of 343lbs now at about 318lbs, I have GERD, moderate to high cholesterol and joint pain, but no serious medical complications ( diabetes, etc) What is the likelihood that I can be denied. HELPPPPPPPP :(

It's going to be ok,if you have done all the hoop jumping and met the requirements and you'll be approved. Waiting is the hardest part, keeping fingers crossed for you!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×