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Benjamin Prez

By Benjamin Prez, in Insurance & Financing

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beautifulnewme2012    164

beautifulnewme2012
Posted

I have BCBS IL...I didn't have to do the 6 mth diet...submittal to ins happens tomorrow..and I was told by the ins comp that they cover it as long as I meet their certain requirements. You might want to see if your employer opted out...I have heard that happens a lot...

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MeMeMEEE    206

MeMeMEEE
Posted

Yes, alot of employers select what they cover and the insurance company itself has no say.

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hellonurse    76

hellonurse
Posted

Once my coordinator sent my items in this past Monday, I received my approval yesterday!!

So it took 4 days. I have Cigna, but it was my (H) (M) (O) Sharp Community Medical Group that reviewed and approved my surgery!

Can't wait for April 24!!

Sent from my iPhone using VST

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hellonurse    76

hellonurse
Posted

Yep! Of course the whole Quest for WLS took 9 long months( 6 month supervised diet) plus I had to do the Psych Eval and strangely all my pre op tests done before my surgeon's office would even submit my info to Sharp. I met with my Surgeon only after I finished my diet and Sharp approved a visit with him!He told me I didn't have to deal with Cigna at all, just Sharp. It was so fast!!

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hellonurse    76

hellonurse
Posted

Your primary insurance is Cigna? And sharp is what?

Yes, I have Cigna from my employer, and I had to choose an H. M.O. I have had Sharp Rees Stealy for like 12 years, but they gave me lots of grief about WLS, so I parted ways with SRS and joined Sharp Community Medical Group. I love my new PCP, he is the best.

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Benjamin Prez    4

Benjamin Prez
Posted

Ok so I just got my military medical takin care of so I have free health care for the next five years so does that mean I can now talk to my medical docs about the procedure or do I need a secondary care plan?

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hellonurse    76

hellonurse
Posted

Did you check your policy if it includes WLS??

If it does, make an appointment with your PCP and let him or her know what your goal is.

I had to quit my awesome Doctor of 12 years, cause he has always discouraged me to have WLS. I finally made a wise choice, and switched Doctors, I really like my new PCP, he is really supportive, and if he would have told me no, I would have kept on until I reached my ultimate goal!! It took me 10 months to get here, but it's here, I'm on my 2 week pre op diet and scheduled for the 24th!!

Good luck to you!!

Let us know how your progress goes!!

Sent from my iPhone using VST

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Sparky79    41

Sparky79
Posted

I have United Healthcare Choice Plus and was approved in 3 days. I did not have to do a 6 month supervised diet either. I was pleasantly surprised. I thought for sure I was going to have issues.:)

S

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Sparky79    41

Sparky79
Posted

Nope.

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Go To Topic Listing Insurance & Financing

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