Info for State of GA Employees
There has been some conflicting onfo on the board, and I want to clarify that state of GA employees to have access to weight loss surgery coverage. Here is a repost of a recent post with guidelines to follow.
State Employees Will Continue to Have Coverage
for
Weight Loss Surgery
for
year 2010 !!!
I called Cigna and confirmed this is correct. So, if you had surgery this year, you won't have to worry about your follow up visits, lap band fills, etc being covered. WHEW!
Also, if you are trying to have surgery next year, you will have the option to choose insurance that will cover wls.
*** If you have not had surgery
yet, and will be seeking surgery
2010 please use the following
guidelines:
1. You must choose either the HRA or High Deductible plans for Cigna or United Healthcare when you choose your insurance for 2010. These are the ONLY options that will cover wls. ALL the other plans will not pay for wls. Once open enrollment is over, it will be too late and you will have to wait til 2011. If you, or a family member are even considering wls, go on and err on the side of caution and get the HRA or HD plan.
2. You will be required to attend 6 months consecutive support group sessions and 6 months consecutive physician supervised diet visits before they will approve your surgery. You can start this now even if you do not have the HRA or High deductible plan for 2009. This will give you a jump-start on the process. Be sure to document EVERYTHING you do!
3. Please stay tuned to the board for updates. There are several shbp members who were blessed to get wls this year. We were guinea pigs, since this year was the 1st year in a long time wls was covered by shbp. It was a long and hard process for us. Hopefully, they have worked all the kinks out of the program and you will have a smoother approval process. We will do all we can to guide you through this. Please post to the board what you are going through get approved, as it will be very helpful to others. We veterans could not have done this without relying on each other.
State Employees Will Continue to Have Coverage
for
Weight Loss Surgery
for
year 2010 !!!
I called Cigna and confirmed this is correct. So, if you had surgery this year, you won't have to worry about your follow up visits, lap band fills, etc being covered. WHEW!
Also, if you are trying to have surgery next year, you will have the option to choose insurance that will cover wls.
*** If you have not had surgery
yet, and will be seeking surgery
2010 please use the following
guidelines:
1. You must choose either the HRA or High Deductible plans for Cigna or United Healthcare when you choose your insurance for 2010. These are the ONLY options that will cover wls. ALL the other plans will not pay for wls. Once open enrollment is over, it will be too late and you will have to wait til 2011. If you, or a family member are even considering wls, go on and err on the side of caution and get the HRA or HD plan.
2. You will be required to attend 6 months consecutive support group sessions and 6 months consecutive physician supervised diet visits before they will approve your surgery. You can start this now even if you do not have the HRA or High deductible plan for 2009. This will give you a jump-start on the process. Be sure to document EVERYTHING you do!
3. Please stay tuned to the board for updates. There are several shbp members who were blessed to get wls this year. We were guinea pigs, since this year was the 1st year in a long time wls was covered by shbp. It was a long and hard process for us. Hopefully, they have worked all the kinks out of the program and you will have a smoother approval process. We will do all we can to guide you through this. Please post to the board what you are going through get approved, as it will be very helpful to others. We veterans could not have done this without relying on each other.
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