Recent Posts
Hello Mrs. Judy B. would you please send my a copy of the letter. I was recently denied with UHC and I would like to appeal and don't know where to start. I would love for them to approve my first appeal. I would great appreciate it if you can help me out. UHC covered my gastric but said panniectomy/ abdominal plastic is not covered! HELP PLEASE THANKS
Hi everyone. I have Blue Cross NY, as a state employee. I have a BMI of 36, but not really any como's... I only need one to qualify. I do have a documented cardiac arrhythmia, but it's really minor. Anyone have experience with this type of insurance, and getting approval, especially for this comorbidity? I just don't want to waste any time. Thank you all in advance. Also, if anyone can explain the psych evaluation, that would be amazing.
Wondering if anyone in SC has Blue Choice medicaid and whether or not you had to go through the 6 month diet before being authorized to have surgery?
Thanks so much for your response. I have met with a bariatric surgeon and his team. I think I am just overthinking everything and am really anxious about getting an approval when the time comes to submit everything. When I went to the new patient seminar, they did mention the items they would need from me to get an approval and medical records was not one of the items. I was pretty much told the same as you. I was reading other post and someone mentioned the whole medical records thing and it made me wonder if I would need the same. Like I said, I think I am just anxious and overthinking everything. Especially since I have a 4 months left on my medically supervised diet. Lots of time to overanalyze. lol
Again, thanks for you response.
Federal BCBS / Standard plan.
Paperwork submitted 4/29, approved 5/10. (7-ish business days)
Only have 1 insurance company, so I don't know if any are easier to deal with.
49/F 4' 11" Highest Wt. 183.8--Surgery Wt. 173.0--Current Wt. 115.2--Goal Wt. 115.0
I have Federal BCBS, not BCBS MN, but I did the same thing as you. I wanted to be proactive and gather everything before I met anyone. Turns out, all I really had to do was go meet with a bariatric surgeon. They are experts in this area and can tell you everything that will be expected of you, and give you all of the forms and examples of how letters should be written for your specific plan.
If there is anything they need from you, an experienced bariatric team will do almost everything they can to help you get it. All I had to give my office was my primary care support letter - which they templated and gave to me to have her sign. Mine had to contain certain key words and phrases to get approved. (P.S. approval took about 7 days).
If you haven't attended a new patient seminar, I would suggest you start there.
49/F 4' 11" Highest Wt. 183.8--Surgery Wt. 173.0--Current Wt. 115.2--Goal Wt. 115.0
Hey Guys! I am new to this site and am in the beginning stages of my weight loss surgery journey. I have BCBS of MN through my employer and luckily gastric bypass and the vertical sleeve are covered. (haven't completed decided on which I want) I have gone over the medical policy that was sent to me from the BCBS but I still have questions. My main question is what documentation needs to be gathered to present to the insurance company. I have already gotten my letter of medical necessity from my PCP. I am in the process of getting my psych evaluation completed and I am in second month of the 6 month medically supervised diet. Other than the BMI qualifications, which I am more than meeting, these items are the only thing mentioned as qualifications for approval. However, I have seen other ppl on this site talk about gathering medical records and other items. I am just curious as to what all I need to be gathering over the next few months.
Hi, my name is Kim. I was wondering if you still had a copy of the 6 month medical diet. I am going to have gastric sleeve but it is being put off due to this dietary regulation. My email is [email protected].
Thank you so much for your help. I really appreciate it. ?
Hi my name is Kim. Do you still have a copy of the 6 month diet. If you do would you please email me a copy.
Thank you!!
Hockeymom87 · 0 replies · 611 views
