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

does anyone have Healthfirst insurance



Recommended Posts

Does anyone have healthfirst insurance and know how it works pertaining to bariatric surgery

health first requires 6month weight supervision with pcp and a whole bunch of other pre open tests before they decide is authorization is approved

Share this post


Link to post
Share on other sites

health first requires 6month weight supervision with pcp and a whole bunch of other pre open tests before they decide is authorization is approved

Hello nyc8dove

Thanks for the reply but I was told by my surgeon that the only requirement healthfirst needed from me was a cardiology,pshyc,pulmonary and pcp clearance and also 2 weigh ins which I have scheduled already once that is all done I would get a package from my nutritionist for test to be done before surgery and then I see my surgeon once more before surgery.....so I just have to basically do my part.

Share this post


Link to post
Share on other sites

Hello nyc8dove

Thanks for the reply but I was told by my surgeon that the only requirement healthfirst needed from me was a cardiology' date='pshyc,pulmonary and pcp clearance and also 2 weigh ins which I have scheduled already once that is all done I would get a package from my nutritionist for test to be done before surgery and then I see my surgeon once more before surgery.....so I just have to basically do my part.[/quote']

I was told the same...I have the endoscopy to redo, I had two sleep studies and the pft, the nutritionist and cardio cleared me...that psych eval was expensive....I'm scared after paying out of pocket for nutritionist and psych, I might get denied.

Share this post


Link to post
Share on other sites

I was told the same...I have the endoscopy to redo' date=' I had two sleep studies and the pft, the nutritionist and cardio cleared me...that psych eval was expensive....I'm scared after paying out of pocket for nutritionist and psych, I might get denied.[/quote']

Ok so your about on your way it shouldn't be too Much longer..where are you going to have your surgery at? I'm having mine at montefiore hospital with Dr.vemulapalli hopefully by April or may.

Share this post


Link to post
Share on other sites

Ok so your about on your way it shouldn't be too Much longer..where are you going to have your surgery at? I'm having mine at montefiore hospital with Dr.vemulapalli hopefully by April or may.

I'm.going to Dr. GADALETA in NorthShore Manhasset hopefully I can do mine in April

Share this post


Link to post
Share on other sites

I'm.going to Dr. GADALETA in NorthShore Manhasset hopefully I can do mine in April

Ok I'm sure yours will be very soon sooner than mine being that your practically almost don't..well good look and please keep me posted...I would lo e to know the experience and outcome.

Share this post


Link to post
Share on other sites

I'm.going to Dr. GADALETA in NorthShore Manhasset hopefully I can do mine in April

Oh ok that's good I hope all works out with you and your surgery..keep in touch :)

Share this post


Link to post
Share on other sites

I was told the same and then they threw in the 6 months pcp weigh in out of nowhere. Hope you don't have to go though it. Good Luck!

Share this post


Link to post
Share on other sites

I had health first with Medicaid n had to do six months n all the other stuff I did all of that but while I was doing the six months I became pregnant n miscarried n was told I had to start over cause my doctor didnt want to see me while pregnant.. But I recently switched insurance to metro plus no six month wait just have to do psych , GI ,endoscopy ,2 Nug appointments ultrasound ,n support group thinking everything should be done this month and I have to do sleep study.. Ughhhh

Share this post


Link to post
Share on other sites

I had health first with Medicaid n had to do six months n all the other stuff I did all of that but while I was doing the six months I became pregnant n miscarried n was told I had to start over cause my doctor didnt want to see me while pregnant.. But I recently switched insurance to metro plus no six month wait just have to do psych ' date=' GI ,endoscopy ,2 Nug appointments ultrasound ,n support group thinking everything should be done this month and I have to do sleep study.. Ughhhh[/quote']

Wow excuse my language but your doc is a bi**** for not letting you just finish. I'm sorry about your miscarriage. I was to,d to change to metro plus too but when I was changing it I thought it was health first. Good luck hope everything goes well.

Share this post


Link to post
Share on other sites

Yes she really was.. She was against the whole WLS anyways..I would switch cause its less headaches.. Where do you live?

Share this post


Link to post
Share on other sites

Yes she really was.. She was against the whole WLS anyways..I would switch cause its less headaches.. Where do you live?

Sorry for the late response. I live in manhattan. Please switch your doc.

Share this post


Link to post
Share on other sites

Yes she really was.. She was against the whole WLS anyways..I would switch cause its less headaches.. Where do you live?

Have all the paperwork you had done with that doc sent to your surgeons office this way when you switch docs you can start off where you left off.

Share this post


Link to post
Share on other sites

I have im going to jacobi and im almost done..and I switched my insurance so I dont have to do the 6 month diet..yayyy!! I did my endoscopy today n did psych..monday I have an ultrasound and sleep study then upper gi on wednesday..after that I have to do 2 nutrintion then medical clearance..the onlt thing that would stop me from having a june date is if I have sleep apena cause then I would have to wear the c-cap for a month

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

    • Aunty Mamo

      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. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      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!
      · 0 replies
      1. This update has no replies.
  • 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

    ×