Getting covered in Ohio

[PrincessAwesome 0]

So, I started this whole journey in October 2016. I had just started a new job, whose insurance plan does not cover any weight loss plans, including surgery. So, I opted out and started calling around to different companies. I THOUGHT I found a plan that would cover it (the saleslady said it would!), but, I was duped. Fast forward 7 months, my parents agreed to pay (they are not wealthy people, so I know what the burden is).

Now, here's the thing, I started with such a high BMI, that my surgeon refused to do the gastric bypass. He also advised that I probably would not find a surgeon who would. Instead, we decided to do the procedure in stages. So, I have a gastric sleeve, which I love. Now, I need to find an insurance plan to cover the bypass. My surgeon documented everything from the beginning to indicate that this was the plan all along, so that if I found a plan, they can't reject based on perceived failure of the initial operation.

My question for you all is: Does anyone know of a plan in Ohio that will cover weight loss surgery?

[Edavis1124 3]

Blue cross blue shield does. Did you go to Cleveland Clinic. They specialize in high risks folks. They just did my bypass. And they are doing my husband's in September. Also the cost full on is 27000 at cleveland.

Sent from my SM-G955U using BariatricPal mobile app

[PrincessAwesome 0]

It was done at Akron General, by a Cleveland Clinic surgeon (when CC bought Akron General, they brought some doctors with them). What plan do you have through Anthem that covered it?

[Edavis1124 3]

I was going to lose my secondary, which was caresource, and the financial people at cleveland told me to use anthem that they cover it. I just have Medicare and regular Medicaid and mine was 100% covered. Also Cleveland clinic bought into Akron General, however they don't own Akron General, they basically have management say and that's it. So really research your doctor. You see I live in Barberton and the Dr at Akron requires and addition 3500 after the insurances paid. That's above and beyond what the insurance will pay she said and it's for fees. I was thinking I don't think so, it's also in writing. So it's been 3 years since I looked at Akron. I decided to go by Dr ratings and complication rates, and decided in March of 2017 to go with Cleveland Clinic Main campus. Remember just because the they have Cleveland clinic in their name dosent mean they have the same drs from main campus. My Dr is the director of the metabolic institute at cleveland and none of his staff travels to Akron. So really really do your homework as that can make a difference with coverage for you as well as it is imperative for your health.

[Frustr8 7,886]

Seems like they have troubles in NE Ohio, things fine and dandy downstate. Columbus chicks getting done just fine.