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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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  • Mastiff_mama
    Mastiff_mama

  • Have you looked into having your surgery in Mexico? That's where I went, because our insurance wouldn't pay for it. I had my surgery on September 21 and I'm down 60 lbs. If you have any questions, jus

  • Medicare is supposed to start covering the sleeve in all states, but when is everyone's question. You may have to wait until it's approved in your state, but it shouldn't be long. Your other option

Featured Replies

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 :)

  • 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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