I apologize if this is the wrong area to post, please point me in the right direction if there's a better one.

I've completed all my requirements for sleeve surgery under AETNA. The doc was ready to go ahead with my paperwork for pre-authorization, when my husband quit his job and started a new one.

New insurance is Capitol BC/BS of Harrisburg. I know they cover bariatric surgery, but for the life of me, I cannot find the exact requirements.

Our new insurance doesn't kick in until he's at the job for a month, so that will be Feb. 11.

I am trying to decide if I should just pay another month of COBRA and get the surgery done under AETNA, or wait until Feb. 11 and try to get approved with the new insurance. I hate to have to start all over again.

I am a mess with this decision.

My fear is that the new insurance will make me wait another 3 months or so. I only had to do 3 months with AETNA.

Thanks!

Have you called them? They can usually email you the policy. You wouldn't necessarily have to start over but if the requirement with the new insurance is 6 months, you will have to do the additional 3 months.

I did a quick search and found this: https://www.capbluecross.com/wps/wcm/connect/8c81d245-cf36-42fc-bee7-a19a9a2cf2f8/Bariatric_Surgery_11-2-15.pdf?MOD=AJPERES

I would still call to confirm this is correct.

Good luck!

Thanks. I did see the web site but if you look closer, it doesn't actually give specifics. I did call BC/BS and they weren't much help since I am not in their system yet. My doc thinks I will be OK, and it appears the criteria is pretty much the same at AETNA. Fingers crossed.

That's such crap. They can give you that information. I hate when insurance companies play silly games.

Good luck!

I have that insurance and had no problem. I started this journey the end of October and was sleeved Jan 7th. Could of went early but my Dr. was on vacation after the holidays. Approval only took 1 day after my final test. I also had a lower BMI

Is there a specific set of requirements with capital blue? I also haven't found many details.