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rocal6356

Pre Op
  • Content Count

    18
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About rocal6356

  • Rank
    Novice

About Me

  • Gender
    Female
  1. rocal6356

    Highmark BCBS - weight history

    I has Highmark BCBS at the time when I got sleeved - this insurance does not require a BMI history, so no need to be worried about it. If they required it, I wouldn't be able to have my surgery. ( I did not have any records). Good luck ! Isabella
  2. rocal6356

    HMBCBS

    Here is the link to the bariatric surgery policy : https://secure.highmark.com/ldap/medicalpolicy/wpa-highmark/G-24-047.html. I think it is a pretty decent policy. I have HMBCBS as well; I I will have my last visit for the supervised diet at the beginning of September, and after that the game of waiting for the insurance to take a decision starts. Good luck to you !
  3. Thank you all for your answers. Greenbeans: my surgery is not scheduled yet. If all goes well with the insurance I will be sleeved sometime in October. ( I am a low BMI-er ). I am so glad that you are happy with the lap band. Singinshell: I've heard many others having stalling periods. You will eventually start losing, Did you have the lap band ? Lissa0305: I hope I will be happy with my sleeve as well. How much have you lost so far ?
  4. Thank you so much for the reply,I guess True Results works with many physicians.How was your experience,how did the surgery go ? Sent from my LG-H631 using the BariatricPal App
  5. Hello there, my name is Calipso and I will have dr Stevenso as my bariatric surgeon.Can you share your experience,please ?I would really appreciate it.Have a great day ! Sent from my LG-H631 using the BariatricPal App
  6. I have the same insurance as you. Here is the link to the obesity medical policy: https://secure.highmark.com/ldap/medicalpolicy/wpa-highmark/G-24-047.html I hope it helps. Good luck !
  7. Thank you so much for your tremendous help. You should have received an email from calipsog@yahoo.com with the information requested.
  8. Thank you both, katanee and missvee, for your answers. I feel that I have hard time with my insurance's reps. The information they gave me is about general benefits since I wett on highmarkbcbs.com and got the requirements from there without logging into my specific group plan. I think I will contact the insurance rep at TrueResults where I suppose to have the surgery. Their patient advocate reassured me twice that I am ok in regards to surgery coverage unless I lose weight during the 6 months dr. supervised diet and go under the BMI of 35.
  9. Hello everyone, I have decided to see a patient advocate at TrueResults in Phoenix to see if I am qualified for the gastric sleeve. I gave all my insurance information to them before my appointment (I have Highmark BCBS through my employer, Centene Corp). The patient advocate informed me that they verified my coverage and that I meet all the requirements for a bariatric surgery. However, my BMI is under 40 and I do have one of the co-morbidity mentioned in the insurance requirements which is HBP. My dilemma is that the patient advocate said that I am required to be on two blood pressure pills in order to qualify - which I am - but the customer service people at Highmark BCBS keep telling me that I need to be on three HBP pills in order to qualify (they even sent me a hard copy of the requirements). I don't know who is right and I don't want to start this journey and to find out that I am denied. Has anybody else experience something like this ? I would think that the insurance people at TrueResults have accurate information, but I doubt it right now. The customer service rep at Highmark gave me the requirements for Highmark BCBS in general, but I know every employer might override these general requirements. Please help ! Thank you. Isabella

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