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

Anyone from NY HealthFirst insurance ..



Recommended Posts

Hello, i wanted to know if you're from NY ? This is last month of my requirement journey. ( my around visit with my surgeon on June 4th ) what is to be expected that day ? I'm just so nervous.. Millions of thought racing through my head and no way of putting them on here lol.. I'm just a little worried about the approval. Everyone tells me not to worry I'll be fine.. But heck there's always a little preoccupation ... What do you think .. I have Healt First. My BMI is at 47.. I weigh 253.. I gained maybe 10 lbs since I started in December.. Which I doubt would be a problem being that I need to lose a little weight before surgery..,

Share this post


Link to post
Share on other sites

I think you will be just fine. I'm from NY and I work at a hospital. I tend to see a lot of patients that come in the morning for various surgeries including sleeve, lapband, and bypass. I've also seen many people with Health First and they all have approvals. Just remember, it's never set in stone if your insurance denies you. Your surgeon and his billing/precertification team just have to have the right push to fight for you. It could take a couple times but more likely than not the insurance will end up paying for it as long as you go through all their ridiculous requirements. As long as you did everything you were supposed to you will be fine! Also remember it benefits your insurance company as well. If you have a surgery to assist you with losing weight it also prevents you from other serious chronic conditions. This means that your insurance company would have to pay more in the long run if you didn't lose weight. They may be tough but they def aren't stupid and insurance companies love to save every penny they can get.

Share this post


Link to post
Share on other sites

It just taunts me and I sleep on this every night. Thinking that there's an approval thing here.. I just hate that they would make people go through all this and then be denied.. I'm scared of that!!! I've done everything already. I just have the psych next week and I'm done... Super nervous about that !!!!!!! ????????????????????????????????????

Share this post


Link to post
Share on other sites

<p><span style="font-family:Arial, 'sans-serif';color:#222222;font-size:10.5pt;">I think you will be just fine. I'm from NY and I work at a hospital. I tend to see a lot of patients that come in the morning for various surgeries including sleeve, lapband, and bypass. I've also seen many people with Health First and they all have approvals. Just remember, it's never set in stone if your insurance denies you. Your surgeon and his billing/precertification team just have to have the right push to fight for you. It could take a couple times but more likely than not the insurance will end up paying for it as long as you go through all their ridiculous requirements. As long as you did everything you were supposed to you will be fine! Also remember it benefits your insurance company as well. If you have a surgery to assist you with losing weight it also prevents you from other serious chronic conditions. This means that your insurance company would have to pay more in the long run if you didn't lose weight. They may be tough but they def aren't stupid and insurance companies love to save every penny they can get.</span></p><p></p>

So you think I'll be approved ???

Share this post


Link to post
Share on other sites

Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

Share this post


Link to post
Share on other sites

Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

I'm so exacted. I just have the psych Eval yikes.. What if you gained weight though ? They never told me anything about losing it keeping that weight

Share this post


Link to post
Share on other sites

Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

If you'd like we can text ... ??

Share this post


Link to post
Share on other sites

If you want you can pm me on here. I don't use my cellphone often because of my work schedule

Share this post


Link to post
Share on other sites

Let me look!

Share this post


Link to post
Share on other sites

Hey everyone, I have emblem health, does anyone know if I'll be approved? I'm 25 years old, 270lbs 5'4, I've been over weight my whole life, did diets, went to the gym and nothing ever worked for me :( , I'm just praying that I can get this surgery and be healthy for my daughter, I want to live a long life and I really need this, I have an appt with my surgeon next week on the 29th, I'm nervous !!

Share this post


Link to post
Share on other sites

Hey everyone, I have emblem health, does anyone know if I'll be approved? I'm 25 years old, 270lbs 5'4, I've been over weight my whole life, did diets, went to the gym and nothing ever worked for me :( , I'm just praying that I can get this surgery and be healthy for my daughter, I want to live a long life and I really need this, I have an appt with my surgeon next week on the 29th, I'm nervous !!

I feel you'll be fine hun. When did you start this journey? I have HelthFirst NY .. I'm also hoping to be approved.. SUUUPERRR nervous.. What have you gotten done so far

Share this post


Link to post
Share on other sites

Yes I just started this journey, I went to the seminar and I have my 1st appt with my surgeon next week, hopefully it all goes good, I'm in the bronx by the way, my surgery will be done in montefiore Hospital, they are known for performing many weight lost surgeries, :)

Share this post


Link to post
Share on other sites

I feel you'll be fine hun. When did you start this journey? I have HelthFirst NY .. I'm also hoping to be approved.. SUUUPERRR nervous.. What have you gotten done so far

thanks

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

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 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

    ×