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I Need Advice

Hi! This is my first post and it's been a VERY bad day for me. My insurance company told me today that they do not cover ANY bariatric surgery. I was mortified. My doctor has been talking to me for the last six months about needing to do the sleeve procedure. I cannot do lap band for health reasons nor regular gastric bypass [although for health reasons]. I'm on disability and my husband is a teacher. We are on a VERY limited income. Has anyone had ANY success with an insurance appeal? I have to write a letter the insurance company this weekend but don't know what details I should put into it. Any advice would be greatly appreciated.

Thank you in advance.

Blessings~

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I have bcbs right now. My out of pocket is 5k which isn't something I could come up with right away. How do you get on Medicare?

Medicare of you're over 65 or permanently disabled you get it after 2 years. I am sorry, I had no idea you didn't know what Medicare is...sorry for my ignorance :)

I have bcbs right now. My out of pocket is 5k which isn't something I could come up with right away. How do you get on Medicare?

Credit card baby! Or medical card?

  • 9 months later...

Doesn't matter! I switched to an advantage plan when I knew I was having this surgery. I am single and couldn't come up with 20%. Medicare covers whatvit covers! :)http://www.obesitycoverage.com/component/zoo/item/medicare-requirements-for-weight-loss-surgery

Hi, is there a link for medicare that gives the criteria to cover plastic surgery?

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