Dr Elariny and insurance

A little while ago I was told that he was NOT in network so I began to look elsewhere.  Not wanting to just settle for a  DR. becauese he was in network I decided to look elsewere for a  "vetted DS surgeon" and had decided to go to Dr Ungson in MX.  Yesterday, I call his office..to just ask some questions and low and behold the receptionist said they ARE in network with my insurance.  I called my insurance and they said yep he is now.  
 
Needless to say I am set up for his seminar ;)  The neg to this is I was mentally prepared for this to happen on my timeline... so not it will be insurance hoops. I must admit it is more comforting that considering the complication of the procedure that may be able to have it in the US closer to home. I am certain they will deny me initially because my BMI is only 40 but I have a few comorbilities and  they do cover the DS.

So if anyone have some insurance pointer/experience I would greatly appreciate it. I would also love to heard about the experience others has had with Dr. Elariney and his pratice.  I understand that he has a fee above what the insurance covers...can someone elaborate on how much and how it works. BTW I have BCBS Fed(Bluechoice)

Thanks

Call your insurance and ask what the specific requirements are to obtain approval for WLS.  Ask about about your out of pocket expenses, is anesthesia (and an anesthesiologist) is covered (surprisingly some insurances do not cover this), ask about deductibles etc.  Get as much information from them as you can up front so you are prepared.  Most insurance companies require a 6 month nutritional program before approval.  Be sure to go to every single appointment with the nutritionist..if you miss one..you will have to start all over again.  Research, study, and prepare yourself.  You most likely will have to have a psych eval and some other testing done...depending on your surgeon's and insurance company's requirements. 

It will take time but it is sooo worth it in the end!!  Stick with it...your whole life will change for the better!