Med Mutual Ohio Med PPO

Hello, I work for the State and wondering if anyone has used this insurance for WLS? IF so, any idea what docs and hospitals are in-network? Any experiences you would like to share either here or privately? Thanks! Andrew

I would contact you insurance they can provide you with a list of doc and hosp. plus tell wheither or not the surgery is covered and to what extent. Rynae

Every MMO policy is DIFFERENT. Call MMO and ask what YOUR POLICY states. Some have quit covering WLS, others have put a $10,000 cap on it, others have made NO changes. I called MMO and ask what they needed to be approved. I provided all they wanted and was approved in about 15 days. You can go online and see what doctors are in network at mmo.com, then go to find a doctor section. Good Luck, Robin W 218/131.5/115

Dear Andrew, My insuance is through the state with Medical Mutual Ohio Med PPO. I just got approved for WLS. It took only 9 business days for the approval. I am going through Barix which is out of network but I know OSU is in the network, also Springfield and Mt. Carmel hospitals I think. Good luck in the process. Janet

Thanks for the responses, all of you. I wanted to go through Barix too, but was told by MMOH that Barix was out of Network. My deductible was then upped to $300 and then was told that they would only cover 60% of the allowable from Barix. 60% of 20K leaves me with nearly $8000 out of pocket. So that was a bummer. I did call the Bariatric Program at Mount Carmel and awaiting information from them. I would have preferred Barix, but nearly $8500 Out of Pocket was pretty steep. Good Luck to you! Andrew

Andrew, My husband works for the state and I had my WLS on 3/29 in Cincinnati at The Christ Hospital. It took months for approval because the ins co said they had not received my 5 year weight history from my PCP. Long story short - I had to do a lot of calling but finally got approved. Make sure you know what they expect you to send in for the review and make a copy of everything you send them. They covered quite a bit and my out of pocket expenses were under $1000. We have Med Mutual Super Med Plus Donna

Hi Donna, Sure wish I lived in Cincy! Best of luck to you in your ventures! Andrew