New here with questions...please help!

queenracine
on 3/28/10 9:07 am - Saint Paul, MN
Hello all. I am currently on the road to a new life. I was wondering if anyone had health partners when they had surgery. I am not quite ready to submit to my insurance for approval but worried that since I did not see a doctor at all the last 2 years if I am going to be denied as they require 2 years of documentation. I've seen lots of peoples before and after pictures but wondering how many of you actually had to have plastic surgery?
hartzzz
on 3/28/10 12:12 pm - Minneapolis, MN
I had health partners.  I was not required to have two years of documentation, but your group plan could require it.

As far as plastics...I think the answer is many of us want it, but most insurance does not cover it unless there is a physical reason other than nuisence or cosmetic reasons.

Denial of insurance is not the end of the road...it's just another hoop some people must jump through.  If you qualify apart from the documentation, you will get there.

Paul
Stacy M.
on 3/28/10 12:36 pm - Woodbury, MN
The health partners plan I have required documentation of 2 yrs of BMI over 35 w/comorbities, or 2 yrs showing BMI over 40 without. There was also a requirement of 6 phone counseling sessions which took place every two weeks for a total of 12 weeks before they would authorize the surgery.

Every health partners plan is different based on what plan your employer chose. Call them and HP will walk you through the website or can fax/send you specifics about what coverage you have for your plan and what requirements you need to meet. There are also requirements outside of your insurance that bariatric programs will require for you to have the sugery.

I am 9 mons out, have lost 75 lbs, goal is to lose 100, and yes, I could use a tummy tuck but can't afford it.

Stacy
I'M FINALLY A LOSER
  TOO!!!

HW 240  SW 229  CW 160.4   FG 150     FG 130-140          
highest   surgery   current        first goal   
final goal       


 

rufus_lily
on 3/31/10 10:45 am - Minneapolis, MN
I had Health Partners and had to have 2 years of documentation. I was worried because I had a big gap - something from Sept 2007, which showed I had a BMI over 40 and then nothing until 2009 (I don't go to the dr very often), but I was approved.
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