Anyone have experience with Harvard Pilgrim PPO
Hi! I don't think I have the PPO plan at Harvard Pilgrim, but I do have Harvard Pilgrim. I got approved pretty quickly for VSG, and I was sweating it because I thought I was iffy on hitting the requirements. My official BMI, based on the surgeon's scale, was 39.7, and I have zero other health problems. I do have a history of documented, supervised weight loss attempts, so I don't know if that helped. I started the process on May 20th with my first appointment with the surgeon, and I'm having surgery on August 13th. The lag time actually had nothing to do with insurance; it was just waiting for appointments to see the specialists. Some of them were pretty booked, so I had to wait for a month to get in. I had my final consult with the surgeon on a Monday, which is when the office submitted my application to insurance, and I had a surgery date the next week. My understanding is Harvard Pilgrim is notoriously fast with the turn around!
Good luck to you!
I had Harvard Pilgrim PPO, state employee plan. I had no problems, approval was very quick.
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.