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I am trying to get started out in WLS and I am lost. Where do I start?
I am in Kentucky and have Humana National POS-Open Access. Interested in VGS. Has anyone here had surgery covered by this insurance. If so what were there requirements (6 month diet, etc.)? I'm looking at going to Georgetown for surgery. Thank you!
Just updating: My doctor's office sent off my paper work to BCBS Federal on 05 December, I was approved for my revision from Sleeve to RNY on Dec 14, 2017. My surgery was scheduled December 27, 2017. 
Virgie Tschirhart
Lap Band - 2008, Sleeve - 2009, RYN - 2017
Started Program Weight July 13, 2017 - 194.2
Before Surgery Weight December 27, 2017 - 185.0
Current Weight - February 2018 - 161.0
Have anyone ever used golden rule health insurance for bariatric surgery before. Their a subsidiary of UnitedHealthcare, but alot if their benefits seems scketchy even though my broker keeps saying their valid and widely excepted, but yet he couldn't really tell me if there good on wls or not only he could say is I wont be able to get the surgery for 12 months if it's "pre-existing ". Well I don't know anyone who just became obesed overnight, soooo 
is this a self pay plan or employer provided?
It is self pay.
in the nearly 9 years I have been a member of this forum. I haven't seen many self pay plans that cover was.
I would insist on seeing the plan coverage itself that says it is covered.
Have anyone ever used golden rule health insurance for bariatric surgery before. Their a subsidiary of UnitedHealthcare, but alot if their benefits seems scketchy even though my broker keeps saying their valid and widely excepted, but yet he couldn't really tell me if there good on wls or not only he could say is I wont be able to get the surgery for 12 months if it's "pre-existing ". Well I don't know anyone who just became obesed overnight, soooo
is this a self pay plan or employer provided?
Have anyone ever used golden rule health insurance for bariatric surgery before. Their a subsidiary of UnitedHealthcare, but alot if their benefits seems scketchy even though my broker keeps saying their valid and widely excepted, but yet he couldn't really tell me if there good on wls or not only he could say is I wont be able to get the surgery for 12 months if it's "pre-existing ". Well I don't know anyone who just became obesed overnight, soooo
I am in a similar situation. I was told that since my deductible for the year AND my maximum out of pocket for the year is met, AND the doctor I was planning on using is on their approved list (yet not in one of the Centers of Excellence) I can proceed with surgery at my chosen facility. The nearest excellence facility is 4-6 hours away by car. I prefer to be closer to home, know my doctors, and be familiar with the facility. I need a hip replacement but now have learned that I MUST get some weight off first.......Not happy, in pain, and trying to deal.
Just wondering how long will it be until I get my answer from them for my revision from the Sleeve to RNY?
I live in Oklahoma. This is going in as a medical necessity due to my hiatal hernia severe acid reflux. Since this is November would like to have my surgery before the year ends.
Virgie Tschirhart
Lap Band - 2008, Sleeve - 2009, RYN - 2017
Started Program Weight July 13, 2017 - 194.2
Before Surgery Weight December 27, 2017 - 185.0
Current Weight - February 2018 - 161.0
Hockeymom87 · 0 replies · 601 views
