What are my chances for approval in Wisconsin (Physicians Plus HMO Badgercare)?
Hello! I have started the process of getting to the point of having WLS. I have visited with both my PCP and my nutritionist every month for six months. I have been diagnosed with sleep apnea. I have high blood pressure. I have a BMI over 50. I am 35 years old and healthy enough for surgery. I have Badgercare, but I'm slightly unique in that I have an HMO through PP. In a few weeks I go to meet with a surgeon (Dr Garren) and they will submit for pre-approval, but I'm nervous. Does anyone relate to me? Similar story?
I had Dr. Thomas Chu and he did my surgery at Aurora Sinai in Milwaukee and my insurance approval was easy especially with medical reasons for the surgery. I was told by my insurance company - United Healthcare that they will approve of RNY surgery faster than the Lapband because it is a one-time permanent surgery versus the lapband can be easily reversed. So good luck!!!
Sincerely,
Penny Johnson