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Anyone has experience with HIP Prime HMO? How long does it usually take them to review the paperwork?
Anyone was denied? and if so why?
I know there is a section on the website where you can check out the feedback from others by insurance, however all the feedback is from 2002-2005.
I have the same insurance and have an appointment with the bariatric doctor in February. Did you get an answer to your question? Did you pursue the surgery? Hoping for information so I am prepared for my visit and have the appropriate level of information to support my case.
Thanks for your help!
I'm in PA and bought a BC/BS silver plan through the Healthcare.gov site. It's decent coverage and costs about 60% of what I previously paid for one of those junk plans that cover little to nothing. Like you, when I looked at all the plans available I saw that bariatric surgery is not covered by even the platinum plans. However, when I scrolled all the way down, I saw something about the possibility that BC/BS might pay for some aspects of WLS. I had originally thought I would buy a platinum plan, because when I first got a look at the available plans it looked like WLS would be covered. But now that it seems that not even the most expensive plans from either BC/BS or Aetna will cover WLS, I went with a less expensive plan that would cover my healthcare needs and figured I'd look to pay cash for WLS. I'm in the process of making a final decision about which surgeon I'll be going to in Mexico.
I've looked into financing and I haven't seen any especially attractive options online. However, many credit cards are offering very low interest rates for balance transfers -- some as low as 0% -- and you get that low rate for 12-15 months. That's long enough for me to be able to pay off my surgery while still covering all my regular expenses. A couple of my cards regularly send me those blank checks that can be used to pay off balances or whatever, and I always used to tear them up and throw them away. Then I decided to use one last year and basically got myself a substantial loan at 0% interest, with 15 months to repay before my regular interest rate goes back into effect. I am going to do the same thing to pay for WLS.
HTH.
Hi babygirlinokc I am in the same boat with BCBS Federal they state there is nothing that states that I was compliant with the previous surgery. The person who submits your paperwork has to be real careful with that issue. Best of luck!
I did not go well. After that I called the insurance company and they state the doc office is not submitting all information.
We encourage you to join us as we celebrate ObesityHelp in 1998 and now. Many members will remember the screens shown in this video and will enjoy the walk down memory lane. If you're new, you'll like the strides and successes we've had during our 16 years with our members.
Please like and share on the video from our OH Facebook page.
We proudly present "Making the Journey Together for 16 Years" . . . . . . . .
on 1/12/14 1:38 am
The first response isn't quite correct. It appears that at least 22 states will have obesity treatments, including bariatric surgery, included in their essential health benefits -- and unfortunately coverage seems to be largely determined by geography. Sadly, many of the 27 states that have excluded surgery are in the south -- where some of the largest obesity problems exist.
BTW, although obesity surgery isn't covered in every state in the exchange, Obama care has made it so that ALL policies must cover screening and counseling for obesity and at least one drug for it's treatment with no patient cost-sharing. So while obamacare isn't perfect, it is better than what a lot of people had before it. Nothing.

"What you eat in private, you wear in public." --- Kat
ObesityHelp Staff are celebrating today and we would like for you to join us.
It was 16 years ago that our founder, Eric Klein, launched ObesityHelp.com. From January 9, 1998 through today, his mission has always been to the education, sharing of information and the support of our 700,000 members. Eric was a pioneer when he created ObesityHelp. ObesityHelp was created before Facebook, Twitter, LinkedIn and YouTube. Eric had a vision long before these sites were thought of.
The journey of ObesityHelp through the past 16 years has been rewarding for those of us that support Eric's mission. ObesityHelp was created, and still remains, dedicated to you, our members.
Please share what ObesityHelp has meant to you by replying to this post.
We've launched exciting upgrades to our Photo System. Among the upgrades you can vote (share the "Love" - ) on member photos. We've also updated the comments area too.
Celebrate our OH community members that upload their photos by using your vote. Upload your own photos so members can celebrate and support you too.
More upgrades to OH are coming.....
Let us know what you think by contacting us at help@obesityhelp.com