Exploring WLS and have Tufts Health Plan

discodotsym
on 9/3/09 12:43 pm
Hi, I am beginning my WLS exploration and will attend an informational session next week. Does anyone know if Tufts Health Plan is hard to get approval? I am planning on going to Dr. Pohl's group. My sister lives in NY state and had WLS about a year and a half ago and had to wait for some time with her insurance. She is doing very well and has lost 140 lbs. She looks like she did when we were teens. I live in RI and have Tufts through my MA Employer. Thanks!! Dottie
Rhody63
on 9/6/09 10:47 pm - cumberland, RI
You may have to go through Tufts in Mass as they have their own bariatric program. You should start woth your insurance company to ask for the specific guidelines reagrding bariatric surgery. doe this before you visit any physicans. Good Luck!!!
Rhody63

  
  
scottrc
on 9/7/09 11:09 pm
I had my banding surgery paid for by CIGNA / Tufts Health net through Dr Vithianathan's office (Miriam), I also work in MA and live in RI.  The devil is in the details of the contract your company signed.  All specifics are likely to vary contract to contract and you'll want to get them squared away through your companies' HR vendor before digging in and moving forward.
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