What insurance did you have when approved for DS

kc82
on 12/5/12 12:05 am - MI
VSG on 05/28/13

I have just been curious...

What insurance provider did you have when you were approved for DS?

I know that all companies and plans are different, I'm just curious as to what insurance company approved you? I currently have Cofinity and I know my plan through my work does not cover any form of bariatric surgery, however my husband will be getting Blue Cross Blue Shield of Michigan through his employer soon and I am hopeful his plan will cover it.

Thoughts?

Jaiart
on 12/5/12 12:46 am, edited 12/5/12 10:22 am - MI
I'm a Blues man.

Highmark BCBS out of Pennsylvania. Paid 100%...

 

determineddanni
on 12/5/12 1:55 am

FEP BCBS 'Basic' not standard

Federal Employee BCBS :)

I love them!

HW 259          SW 256          CW 141       GW 150
             

Calliope36
on 12/11/12 4:56 am - GA

Hi, I am new to the forum and in the planning stages for my DS.  I also have FEP BCBS, how long did they make you wait, and how long was it before they approved surgery?

determineddanni
on 12/11/12 7:21 am

it was fairly quick. i think 2wks max they had a decision. they denied me first for not doing the 3 month diet but i had done 5 months worth and called them back. the rep was super helpful and said i don't' see why they are trying to deny you, you meet all the qualifications. basically the nurses/case managers tried to deny me for no reason. i called their BS and got an approval the very next day.

HW 259          SW 256          CW 141       GW 150
             

calendargirl
on 12/5/12 2:02 am - Land of Oz, KS
DS on 04/20/12

United Healthcare

C-Girl

Starting Stats: Ht: 5' 0" HW: 242 ~ SW: 229.9 ~ CW: 117 ~ Goal: 124.9 ("normal" BMI)
% EWL @ 03 months: 36%             % EWL
 @ 09 months: 80%
% EWL @ 06 months: 63%             % EWL @ 12 months + 2 weeks: 100%

southernlady5464
on 12/5/12 2:17 am

BCBS TN (a Medicare Advantage policy) which approved me, no questions. And as long as I used a surgeon on their list at a COE, they paid 100%.

We also had United Healthcare (primary/only for dh, secondary for me). UHC approved his surgery and paid 100% of his, did not approve mine. (I failed the five years of continuous obesity the policy required).

Liz

Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135






   

ajrober2
on 12/5/12 2:31 am - Houston, TX
DS on 11/01/12

First approval was with BlueCrossBlueShield of Texas.  Then my employer switched insurance so my second approval was through United Health Care. 

julanie
on 12/5/12 4:22 am - Arlington, TX
DS on 09/17/12

Aetna. 

Quick note, sometimes it depends on the size of the company you work for.  Insurance plans for small groups usually exclude coverage because of the cost of the procedure vs how much they can collect in premium on a small case with only a few members.  Of course, national employer groups get to decide what they do or don't want to cover because they self fund the plan, so they can exclude or include at their own whim.  Bottom line is to get it covered you need to work somewhere with at least 300 employees. 

kc82
on 12/5/12 4:32 am - MI
VSG on 05/28/13

Thank you all for your responses - they are greatly appreciated!

My husband works for a smaller company (roughly 30-40 employees) however they are part of the Local United Auto Workers Union here in Detroit and from what his co-workers have told him, they have excellent insurance. But whether or not they cover bariatric surgery is still to be seen. I will keep my fingers crossed!

Thanks again!
- Kari  :)

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