Hello,
My surgery date for the sleeve is set up for January 17, 2011.  I find out today we are getting new insurance as of 1/1/2011 which is Amerihealth.  Does anyone know if # 1 they cover the sleeve and number # 2 do I have to go thru all the work up and everything again?  I have Blue Cross right now.
Thanks

You should call BC to verify that a pre-approval and reimbursement for a surgery is still covered even though you switched plans. Also, check with your employer to see if the termination date for Blue Cross is Dec. 31 or Jan 31. Some policies cancellation have a grace period which means you will be covered for an additional 30 days (Jan 31).

Check and double check.  Call the new health plan administrator Amerihealth and let them know the situation.

Personally I would beg...plead with your surgeon to get you scheduled for Dec.. earlier rather than later.. Explain the situation.  I am not sure if you employer has a fully insured or self insured medical plan  - if it is self insured you may have some flexibility.  Many fully insured plans (at least here in MN where I live) are starting to exclude all WLS effective Jan 1st.

If they can reschedule you based on what I would consider urgent need that would one less stress on you.  I would hate to see it excluded on your new coverage or have them require you start over.  If it is a covered procedure under your new policy and they have different requirements I would appeal having to meet new requirements and get your Dr involved.  Best wishes to you!

 Hi Mark,  hopefully you've moved your surgery up and everything has worked out well with the insurance.  If you haven't though, I'd suggest checking out http://www.healthinsurancequotes.org to get some more info on companies that will cover the sleeve.  Hope that helps mate and good luck with everything!! 

 
It is up to your employer if you have WLS benefits, not the ins co.  It is an additional premium for your employer.  Is it possible to get your surgery next week? ;o)