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

Dual insurance coverage?!?!



Recommended Posts

QUESTIONS... QUESTIONS...QUESTIONS....

Ok, I have Blue Cross Blue Shield through my full-time employer .....they do not cover the weight loss surgery at all.

I'm going back to my part-time federal employer who has Federal Blue Cross Blue Shield. They will cover the surgery and I plan on having it ASAP.

Once I have the surgery...and I get tired of working my part-time job a year later and decide to leave.

Would my Blue Cross Blue Shield from my other insurance cover the fills, etc.?

Share this post


Link to post
Share on other sites

Probably not but you should call and ask.

Share this post


Link to post
Share on other sites

I have Blue Cross and BLue Shield and they covered my surgery. I was borderline with aggravating options. sleep Apnea and Thyroid issues. I just had to go by there rule book. ^ months dr and dietician care and then paperwork was submitted approved in one day. Of course it depends on the type plan. But they do cover it, plus My dr was a "BCBS Center of Excellence" that helped as well plus they new the correct process for BSBS. Goog Luck.:grouphug:

Share this post


Link to post
Share on other sites

I have Blue Cross and BLue Shield and they covered my surgery. I was borderline with aggravating options. sleep Apnea and Thyroid issues. I just had to go by there rule book. ^ months dr and dietician care and then paperwork was submitted approved in one day. Of course it depends on the type plan. But they do cover it, plus My dr was a "BCBS Center of Excellence" that helped as well plus they new the correct process for BSBS. Goog Luck.:)

Unfortunately the insurance group plans differ. So, I don't think we have that here in Texas.

My state insurance is Blue Cross Blue Shield. And, my federal insurance to be will be Federal Blue Cross Blue Shield. The federal one will cover everything.....with the surgery... but the other insurance does not. It's a weird situation I know.

Share this post


Link to post
Share on other sites

QUESTIONS... QUESTIONS...QUESTIONS....

Ok, I have Blue Cross Blue Shield through my full-time employer .....they do not cover the weight loss surgery at all.

I'm going back to my part-time federal employer who has Federal Blue Cross Blue Shield. They will cover the surgery and I plan on having it ASAP.

Once I have the surgery...and I get tired of working my part-time job a year later and decide to leave.

Would my Blue Cross Blue Shield from my other insurance cover the fills, etc.?

If it is an exclusion to your policy, then it would not cover the surgery as well as not covering the fills. :)

Share this post


Link to post
Share on other sites

If it is an exclusion to your policy, then it would not cover the surgery as well as not covering the fills. :sad_smile:

My part-time insurance will cover the surgery. i was talking about if I ever left.... would my state insurance cover the fills, etc. later on down the road. Out of pocket is not too expensive I found out.....for fills, etc.

Share this post


Link to post
Share on other sites

My part-time insurance will cover the surgery. i was talking about if I ever left.... would my state insurance cover the fills, etc. later on down the road. Out of pocket is not too expensive I found out.....for fills, etc.

I am not sure excatly what you mean. If your state insurance is the one that excludes WLS, then when you quit your part time federal job and that insurance ends, then the state insurance would not pick up if WLS was excluded as this probably would include the fills. You would need to contact your customer service for the state insurance to see if it would cover it.

thanks, Crystal

Share this post


Link to post
Share on other sites

I am not sure excatly what you mean. If your state insurance is the one that excludes WLS, then when you quit your part time federal job and that insurance ends, then the state insurance would not pick up if WLS was excluded as this probably would include the fills. You would need to contact your customer service for the state insurance to see if it would cover it.

thanks, Crystal

lol i'm sorry. I read what you said wrong.

Share this post


Link to post
Share on other sites

I would think that your second insurance with the Full time employer(that did NOT cover the surgery) would look at it as a "Pre-existing" condition at that point anyway. But as long as you can at least get the surgery covered would be a plus, that is the big expense. Look at it this way. After you have your surgery and a year down the road post op. You will have more energy than you know what to do with, and the parttime job would just be a plus to keep you busy and moving!! Good luck!!

Share this post


Link to post
Share on other sites

I would think that your second insurance with the Full time employer(that did NOT cover the surgery) would look at it as a "Pre-existing" condition at that point anyway. But as long as you can at least get the surgery covered would be a plus, that is the big expense. Look at it this way. After you have your surgery and a year down the road post op. You will have more energy than you know what to do with, and the parttime job would just be a plus to keep you busy and moving!! Good luck!!

Yeah, even if the other insurance doesn't cover the fills, etc. I think I can handle the out-of-pocket.

Exactly tho on the part-time....

I did the part-time job for a year ... and left about a year ago..... I had to leave because I started feeling really fatigued and depressed. It was too much for my plate at the time.... I started having diabete type symptons...but, nothing was wrong. She just said I need to lose the 2nd job due to fatigue. I really didn't need the 2nd job anyway... I was just doing it for extra money to blow. lol

I think with me getting the surgery... I will probably be able to handle it due to the increased energy. I'm in the perfect city for excercise.... Austin, Texas.... there are alot of highly motivated people here.... so, i'm sure it will rub off on me. I just need that extra little push (lap band) that will help me. I'm very excited..but at the same time I am scared.

I will have the best insurance you can have.... so, I have a feeling it is going to be very quick and not alot of time to think about it. Which is probably better.... lol

I have learned alot from this forum..... I appreciate everyone's responses.

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

    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

  • 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

    ×