I called the insurance provider and she told me that I was approved for the lap - band and the  RNY procedure but not the VSG procedure that I wanted. So I called the Lady at the surgeon's office and she told me that she is working on it. she told me that the provider coverage should be the same as the the previous provider and they are working out the issues. She told me that she would call me friday 11/14/14 and let me know how it's going. she asked me if I would consider  having the RNY procedure if they were unable to get the VSG approved and I told her it would be fine with me to switch to a RNY, She said she would talk to the Surgeon about it and let me know Friday. I have researched the different options and in some ways the RNY procedure may be a better choice for me  anyway , So I am Fine until Friday... Thanks  

Thanks for the reply.... I am under my wife's insurance, she is an R.N., and  I am having the surgery at the hospital where she works.  Every one that I have talked to today has said that as much money as the bariatric surgeon brings in to the hospital, that when they changed providers,  bariatric surgery is still covered and maybe easier to get approved if I have already been approved by the previous provider.   The lady that I talked to was the office manager and the lady that handles the insurance filing stuff has been out of the office all week and should be back in the office friday. After I talk to her I will post back and  I am sure everything will be fine and I am sure I will be having surgery soon. thanks so much

Bill

even if one insurance company approved it, they are not going to. Pay for it now,if your employer switched companies,because no premiums for you are being paid to the old compNy. Why would they pay for something when they don't have to. Approving it was just paperwork; unless you are an actual customer at the time of the surgery,they aren't going to pay it.

i think all you can do is submit to the new company and see what happens. Do you know for sure that your employer bought the rider for Wls with the new company?

I am looking to have a revision done and have found a surgeon that I would like to work with.  I have just found out that my insurance won't cover anything that comes over with a code related to obesity or bariatrics.  Any suggestions on coming up with the money for this procedure?  Has anyone had any success finding financing for this procedure?

I feel like I am losing my mind trying to find an insurance plan to switch through for WLS in Minnesota. I was on Tricare Prime because my husband was an active duty marine. He was medically separated, and now we have lost our coverage through Tricare. Please help I have been looking up plan after plan and have no been able to find one that covers bariatric surgery. I am already in the process of WLS my surgeon has already taken me on and I have qualified, I am hoping I didn't do all of this work for no reason.ReplyQuoteMember Serviceson 10/30/14 8:44 am - Irvine, CA