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

Insurance Requirements?



Recommended Posts

I have my first consultation on November 22nd. I've contacted my insurance to find out if WLS is covered, it is if it's deemed necessary, along with anything needed with surgery (hospital stay, IV, IV medications, anesthetic, etc.). I also asked what the requirements were in order to be deemed necessary.

They stated:

--100+ pounds overweight (my BMI is quite a bit over 40...)

--2 surgeons deeming it necessary (don't know if I go to see 2 different surgeons or how that works)

--pre-authorization through insurance.

I've read about many people having to do different tests, doing a diet, etc... Could that still be my case even if insurance didn't tell me over the phone?

Has anyone only had minimal requirements for their insurance?

Did you have lots of requirements through the Dr. office if you did/didn't have surgery requirements?

Lots of questions, but would love for anyone to reply!!

Thank you!!

Share this post


Link to post
Share on other sites

My insurance had minimal requirements but my surgeon had her own. I was required to do 3 visits with a dietitian, spread out over 3 months, a psych evaluation, physical therapy evaluation and attend a support group. It took me 3 months to complete everything and I had surgery on 11/1.

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

    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 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

    ×