HealthChoice Oklahoma

[Malina 11]

HealthChoice started approving weight loss surgery Jan. 1st 2017. The weight loss doctor's office called to verify I'm eligible with my weight, BMI, health issues due to obesity, etc and my doctor's office said I qualified. At that time began all the classes etc that insurance required. Now, after all of that and spending hundreds on all these classes and additional doctor's appointment insurance is saying it's not medically necessary due to my BMI being 34 and the fact I'm type 1 diabetic and not type 2. My doctor's office appealed the decision and after speaking with the doctor at HealthChoice my surgery shouldn't have been denied and they would approve it for sure. After talking to HealthChoice today I was told I was denied again!!!! I'm so frustrated I feel sick to my stomach. I need this surgery before I can have a life saving transplant and I can't believe this is happening after being told day one I qualified. Has anyone else been dealing with HealthChoice Oklahoma?

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[Deleted Account 151]

I am so sorry! I'm just beginning of this process, and I don't understand why this happens. May I ask what doctor is your surgeon?

[greenbean74423 10]

I plan on having this done and my insurance will be healthchoice next year... Had healthchoice, went to global Health this year 2017 (big mistake) and am going back to healthchoice​ for 2018. I am type 2 diabetic, have sleep apnea and neuropathy. I sure hope I'm not made to wait 12 months because I went to global health this year! I didn't know bariatrics would be covered with healthchoice for 2017 or I would have stuck with healthchoice instead of going to global health.... GRRR so frustrating! 12 months would be a long wait for someone with my health problems...

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