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I also have BC/BS NEPA PPO and found the customer support person on the 800 number very helpful in getting me information I needed to make my WLS decision. My employer (hospital) has a WLS center, so we had to use them (surgeons there are GREAT!) but any other tests I needed for the approval process were no stress and fully covered. I was approved the 1st time I was presented to the insurance, but also had 2 co-morbidities. When you question them, give the name of your surgery center, the doctor's name and also the names of those on his support team. You don't want to be surprised by a bill from the dietician or psychologist which your insurance will not cover. Most centers have the team support members also covered under the plan which they accept but there can be exceptions.
Best wishes to you and being informed about the surgery you want and its costs is a good step in being an informed patient!
Believe in yourself and don't ever stop dreaming!
Lynn, gave you excellent advice. . . and when I considered the WLS option, I first called my insurance provider to see if they covered WLS and what hoops of their's I'd have to jump through. . .
Best wishes as you pursue your goal towards healthier and a more engaged way of living
My Mantra is that I do not determine my success by the number hanging in my closet, nor will I let the scale determine that success either. . . It is through trial and error I will continue to grow and succeed. . . Laureen
"Success is a journey, not a destination." Ben Sweetland
I can't address your personal coverage of course but I had a very long journey with my insurance company (it was HIghmark BC at the time) prior to approval. I'd recommend that you call - talk to a real person. Ask specifically for the list of requirements for approval. Write the list down and get the persona's name. In my case, they kept pulling new requirements out of the hat but of course never telling me where things stood. And bear in mind that every case is different, so your requirements may include something a bit unique based on results of initial screenings.
Good luck!
Do you know......our founder, Eric Klein, created ObesityHelp back in 1998 and we've been the source of information, support and education for bariatrics since that time.
Do you know.....that ObesityHelp organized and hosted the first ever National Conference for pre-ops, post-ops, and individuals considering weight loss surgery?
Please join us as we celebrate our history with the OH community of 65 events in 26 states since 2004, and our 2013 Event on October 4-5, 2013 in Anaheim, California!!
I Know that it has probably been asked but I am just starting my WLS adventure and cannot figure out my Insurance website that is supposed to be Newcomer friendly...needless to say I left it very confused. I did email the Support person in regards to the requirements. I have set up my seminar and Fast track with Dr Kwon but I am OCD about looking things up. This is the first time I have even considered WLS with my insurance company. Any help would be great.
Congratulations Jill
I know that you have worked hard to achieve this goal. I hope to get my butt in gear and start working on getting some of my regain off.
Donna
Congratulations!!! That is awesome. I'm still working toward getting to my goal weight. Since November, I've lost most of my 45 pound regain. It's been hard lately, coz I'm waiting for gall bladder surgery at the end of the month.
Again, keep up the good work. You're a great example to the newcomers.
Hugs,
Trish
Albert Schweitzer
I am back at my lowest weight since surgery. That's 6+ years of successing. Sure, there have been detours along the way. But I hope I can encourage someone with my journey. This tool works phenomenally well, when we use it properly. I also have to use the tools of Overeaters Anonymous, a 12-step program of spiritual recovery. When I do what I know works, the results are amazingly awesome!!!!!
Thanks God, Barix, Dr. Pupkova, Barbara (the nutritionist) and all you wonderful support peeps!!!
Blessings, Jill
WLS 5/31/07. Maintaining a weight loss of 141 pounds and feeling amazing!
