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Insurance changing at the last minute!

laurileet

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laurileet    86

laurileet
Posted

I just found out that my insurance through work will be changing RIGHT before surgery. My date is June 5 - insurance changes over to a new company on June 1. I'm working with our insurance rep to make sure there's no delays but man-o-man i'm nervous now! anyone else go through this? going from United Healthcare to Cigna. I did find out that my surgeon is IN network, but awaiting news on approval. ugh.:blush:

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FluffyChix    17,418

FluffyChix
Posted

Can you move the date of surgery up a week?

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elforman    234

elforman
Posted

Just because the surgeon is in network does not automatically imply that your new coverage will include bariatric surgery. I strongly suggest that you consult your HR/benefits team to ensure that bariatric surgery and weight loss services are not excluded in the new policy.

On the right side, there are times when one company will continue to cover you for a procedure like this that is already underway so that you do not experience an interruption in treatment. This may not qualify because those arrangements are usually reserved for treatment of severe injuries or pregnancy, but it never hurts to ask.

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allwet    868

allwet
Posted

as elf mentioned above coverage may carry forward but is usually limited to after care that is ongoing. You really need to confirm that new insurance covers wls or get surgeon to bump you up a week then after care will covered (dependent on your state law)

good luck

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Orchids&Dragons    9,047

Orchids&Dragons
Posted

I had been planning on surgery in January, but our insurance changed Jan. 1. It was covered under the new insurance, but I had to get re-approved. (I didn't have to re-do the process, but the doctor's office had to re-submit the paperwork for approval.)

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laurileet    86

laurileet
Posted

my company HR guy and the rep for insurance is working hard to fast track me to approval. the surgery is covered, just have to get those pesky papwork people to move it fast. worst case scenario, my surgery gets pushed back a month or so. sad but not the crime of the century. fingers crossed!

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Orchids&Dragons    9,047

Orchids&Dragons
Posted

11 minutes ago, laurileet said:

my company HR guy and the rep for insurance is working hard to fast track me to approval. the surgery is covered, just have to get those pesky papwork people to move it fast. worst case scenario, my surgery gets pushed back a month or so. sad but not the crime of the century. fingers crossed!

Best wishes for that fast-track!

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laurileet    86

laurileet
Posted

Great news!!!! My surgery has been moved up. No longer June 5, it's now May 29. This means that my current insurance will still be covering me AND they've sent me my approval letter. All duckies have lined up in a happy little row. I'M SO EXCITED !!!!!!!!

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Orchids&Dragons    9,047

Orchids&Dragons
Posted

2 minutes ago, laurileet said:

Great news!!!! My surgery has been moved up. No longer June 5, it's now May 29. This means that my current insurance will still be covering me AND they've sent me my approval letter. All duckies have lined up in a happy little row. I'M SO EXCITED !!!!!!!!

Yeah!!!

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Go To Topic Listing Gastric Sleeve Surgery Forums

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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