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Thought I had to do 6 month MSWL but apparently not?

goaldigger33

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goaldigger33    39

goaldigger33
Posted

So I just started on my 6 month MSWL program through my surgeons office. I called my insurance today just because I wanted to confirm that they cover the surgery and also to see what the conditions were for approval. The lady I spoke with said they do cover it and that there is no "time" requirement or amount of weight I need to lose. Hmmmm....that's interesting, and news to me! Glad I called to check.

The insurance coordinator at the surgeons office previously told me it was REQUIRED by my insurance to do the 6 month program. But according to my insurance, that's not the case.

Has anyone else had this happen? I'm happy but also super confused as to why they would tell me that? Super shady right? Any advice is welcome

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snugelkin    17

snugelkin
Posted

I was told i need 6 mos of appts. For approval. N i made all my appointments at my 1st office visit never misding any. Till i went to one appointment n was told i missed 2 months! I was so mad as i went to ALL my appoibtment that the office made me. WELL apparently 2 appointments didnt count. They were at the office but not a weigh in appointment! How was i to know!? So i had to start over from the begining n i thought i was only 1 more appointment away till i was scheduled. They made the mistake by not schedualing me correctly n i thought it was all good. Moral of my story?? Please go by what the office tells u n make sute all ur appointments every month are weigh in appointments.

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gina171    626

gina171
Posted (edited)

Happened to me too....2 different surgeon offices told me I had a mandatory 6 month wait bc I had United HealthCare. Turns out my employer fully funds their own health plan and makes their own rules, and required no wait....they just use United HealthCare to administer the plan, they just run and manage our paperwork. Had to ask the surgeon's office to pls pls call and check my plan specifics, and they were surprised to find I had no wait, even though I carry a United HealthCare card.

I was able to have my surgery within 35 days of my first surgeon appointment.

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Edited by gina171

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goaldigger33    39

goaldigger33
Posted

That's awesome!! I'm still trying to figure it all out. Called the surgeons office today and the lady said something about the fact that even though my insurance doesn't require it, I have to follow the Virginia guidelines since the insurance is BCBS of IL. Idk, makes no sense to me! Then I called the insurance company again and they assured me no 6 month diet is required. I hope it turns out like your situation because I would love to have it soon

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • BeanitoDiego

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