I'm Approved!!

Hello All, I am finally approved by MPlan to have the surgery! I got the call today and asked them to fax the letter so I could see it with my own eyes I am seeing the surgeon on June 5th and will hopefully have the surgery at the end of July. Woo Hoo!

Congrats!!!!!!!!!! Ihope to be posting the same message soon.

Thanks and good luck to you on getting approved. It's the most awesome feeling!

Congrats!! Sherri

Congratulations!!! Sam

What a way to start your weekend! Yaaahooo! Christine

Congratulations and welcome to the first step on your new journey! Cindy

Congrats.. How is MPLAN'S coverage.

Thanks! When I started this process, MPlan required 18 months of requirements. Since the law changed, now it is only 6 months. The plan is really comprehensive. There is a 12 week WLS group with a social worker that addresses emotional issues related to food pre op and post op. I met with a dietician every month. I had to have bloodwork done to monitor cholesterol and blood sugar every 6 months. I had to attend some type of support group such as TOPS or Weigh****chers every week except when doing the 12 week group. Now I have to meet with the surgeon, have the psych eval and set the date. The copay is $1000 and that covers all the pre and post op evals and support so I think it's a fair price. And the Clarian Bariatric Center is wonderful! All the people there are so nice and the support group is very helpful.

I used to have MPLAN. I got denied 3 times for the consulation. They kept saying it wasn't "medically necessary". hmmmmm, I switch to anthem and was approved in 6 days the first try. I work for the state and their coverage was great. If I could have gotten approved, there wasn't any co-pays and the surgery was covered 100%. Then on jan/1/06 the governor decided that I didn't need that insurance anymore and cancelled it. oh well, I can't really complain, Anthem's co-pay is on 500.00. Again, Congrats on your approval and I hope everything goes well for you.