Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Beginning Stages

HealthierMe2017

Recommended Posts

HealthierMe2017    22

HealthierMe2017
Posted (edited)

Hey everyone! My name is Katie and I'm just beginning this Gastric Sleeve adventure. I went to a required seminar and was given some questions to ask my insurance company. They were: what is the required bmi, how many nutrition visits are required and how many physicians visits. So the insurance company said that these limits didn't exist I just needed a pre authorization for surgery. I contacted the surgeons office to see if this sounded right and they said that the surgeon will tell me the required length or time and bmi. Does anyone have an idea if this sounds right? All the reading I've done I expected to hear 35 to 40 bmi, and 90 days or six months of nutrition and physician appointments. Does this mean my insurance might not have these limits or the surgeons office will tell me the requirements??

Edited by HealthierMe2017

Share this post

Link to post
Share on other sites

BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

You can look up your requirements on your insurance website...with mine...I need 35 bmi with at least 1 comorbities and or 40 bmi healthy. Reaches my final growth 18 years of age and a psychologist stating in understood my post diet. Then there were my surgeons requirements as well

Sent from my SM-G920V using the BariatricPal App

Share this post

Link to post
Share on other sites

HealthierMe2017    22

HealthierMe2017
Posted

Yep... My insurance said the same thing. My bariatric team that they have a set number of visits and bmi. So this is not all off the wall stuff. What insurance do you have?

Sent from my LGLS755 using the BariatricPal App

I have Carefirst bluechoice. I guess I just figured it would be a set number of visits before they paid for it. Do you know what the Bariatric team bases that on?

Share this post

Link to post
Share on other sites

BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

http://www.obesitycoverage.com/bcbs this is the requirements on your insurance...I'm not sure how up to date they are but this is what found

Sent from my SM-G920V using the BariatricPal App

Share this post

Link to post
Share on other sites

HealthierMe2017    22

HealthierMe2017
Posted

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

Share this post

Link to post
Share on other sites

BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

No problem, I'm an insurance agent myself and most insurance fall Center reps are not licensed. I would call again and see if you get a different answer and take fornication the names of who you speak with

Sent from my SM-G920V using the BariatricPal App

Share this post

Link to post
Share on other sites

Berry78    4,259

Berry78
Posted

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

No problem, I'm an insurance agent myself and most insurance fall Center reps are not licensed. I would call again and see if you get a different answer and take fornication the names of who you speak with

Sent from my SM-G920V using the BariatricPal App

"Take fornication...."

ROFL

Sent from my SM-N920R4 using the BariatricPal App

Share this post

Link to post
Share on other sites

BubblesOhSoSleeved    129

BubblesOhSoSleeved
Posted

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

No problem, I'm an insurance agent myself and most insurance fall Center reps are not licensed. I would call again and see if you get a different answer and take fornication the names of who you speak with

Sent from my SM-G920V using the BariatricPal App

"Take fornication...."

ROFL

Sent from my SM-N920R4 using the BariatricPal App

I meant take down lol

Sent from my SM-G920V using the BariatricPal App

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 4 replies
      1. AmberFL

        AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

      4. AmberFL

        AmberFL

        How are you doing? any update?!

    • jparadigm

      jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×