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

Approved before or Afterwards ?



Recommended Posts

Which comes 1st ?

I hear people saying that they hope they get approved

Do you have all the required test etc.......before approval or afterwards?

If not who covers the bill if you are denied

I would think that the 1st choice is for the doctors to see if you are coverd by insurance before putting you thru all the hassle & appoints

Any one has the answers

Future sleever: I called my insurance company before hand to see if I was approved : my next step is a seminar I would simple be upset to go thru all the hassle to find out at the end of the day I been denied

Share this post


Link to post
Share on other sites

Weight loss surgery being covered by your insurance is NOT the same as being "approved". Generally, you have to do all the tests and assessments before getting approved, and your surgeon has to submit a request for approval to your insurance, with documentation of everything you have done in order to meet the criteria to be approved for surgery. . With all of my pre-op stuff, insurance covered the tests and stuff, but I still had my copays, deductibles, etc to meet.

Share this post


Link to post
Share on other sites

Before I called the bariatric clinic, I read the benefit plan provided by my insurer, which said that they do cover weight loss surgery but not plastics. When I made that first call to the clininc to set up an appointment, I was told that the insurance coordinator would confirm how much my plan covered. I got a call back with an appointment date. After I completed all of my plan requirements (3 month nutrition and medical tests) all the data was faxed to my insurer for final approval. It was approved in two days along with a guarantee of five nights stay at the hospital. Surgery was three weeks later with two night stay- so in all, it took four months from first call to surgery date.

Share this post


Link to post
Share on other sites

My first step was contacting my insurance company to make sure there was no exclusions and what their requirements were. After that, I contacted the surgeons office, had the seminar, psych and nut appointments etc. The actual approval was one of the last things i checked off my list.

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 changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 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

    ×