Deletemyacct
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Everything posted by Deletemyacct
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????Blue Shield of Ca - 6 monthly weigh ins no longer needed!?
Deletemyacct replied to Sandra86says's topic in Insurance & Financing
Hi, I might not be writting the name correctly. Anyways, I called my insurance this morning & I dnt have wait 6mths, just submit documented diets failed & meet the bmi requirements, my coordinator also confirmed with them. So I will just do 3mths nutritional visits per the office. Thanks everyone! Sent from my LGMS631 using the BariatricPal App -
I'm so excited, I called my insurance again 3x now to verify there's no additional requirement other than medical necessity & obesity. I also called Uhealth the new place i will be using they verified my insurance & she said they just need proof of failed methods so they take that to mean at least 3mths of visits. Yay! I dnt have to wait 6mths, I'm praying for Sept/Oct!! Sept would be perfect as a bday ????! Sent from my LGMS631 using the BariatricPal App
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I have BCBS-CA PPO. I had my first appointment yesterday, i have to have 6mths of nutritional visits. I have to show weight history for the past 3 years, I dnt know if I have all 3years. I have a BMI of 43. I will meet the requirements by end of November 2016. What were some of the challenges you experienced with meeting the requirements for the surgery? I am also using the OBand center which i believe is out of network, but they were not concerned. Share your experience getting approved or denied & appeals? Sent from my LGMS631 using the BariatricPal App
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????Blue Shield of Ca - 6 monthly weigh ins no longer needed!?
Deletemyacct replied to Sandra86says's topic in Insurance & Financing
@@2goldengirl oh ok, thank you for letting me know. Sent from my LGMS631 using the BariatricPal App -
Am I jumping the gun?
Deletemyacct replied to Jane????'s topic in PRE-Operation Weight Loss Surgery Q&A
Congrats on marking the decision! If you cant get summer try to aim for Christmas. Good luck & blessings! Sent from my LGMS631 using the BariatricPal App -
Miami/Hialeah Gardens Area Anyone?
Deletemyacct replied to Floridian79's topic in Gastric Sleeve Surgery Forums
@@MarlenesLifeJourney I'm brand new & doing a lot of research. I started off with the oband center in Hollywood but, I found out they are out of network & they told me I need 6mths nutritional visits but when i called my insurance, my policy doesn't seem to have that requirement. I dnt want to wait 6mths. 3mth ok but 6more?hmm, I'm going to attend a Uhealth (UM) seminar by Dr. De la cruz who is in network & go from there. I have bcbs-ca do you have any recommendations? -
I got the call l have been waited for!
Deletemyacct replied to fatmommy1808's topic in Insurance & Financing
Congrats, how was your surgery? Sent from my LGMS631 using the BariatricPal App -
????Blue Shield of Ca - 6 monthly weigh ins no longer needed!?
Deletemyacct replied to Sandra86says's topic in Insurance & Financing
This was an awesome thread to read, thank you everyone for sharing. I have bcbs-ca but am located in FL. My employer just switch to them this plan yr. I called & was told the procedure needed to be medically necessary, I though that was odd considering what I've been reading but this post made a lot of sense. I originally went to an oband center who currently have me on the 6mth plan but,I will be attending a seminar w/ uhealth on Tuesday & hope to go from there Sent from my LGMS631 using the BariatricPal App -
Weight Loss Program documentation?
Deletemyacct replied to xochtlem's topic in Insurance & Financing
Thank you all for sharing, before seeing this post. I started writing a letter that chronicles all my diet efforts from middle school to date. I will show proof of recent efforts such as hcg, atkins, meal delivery, medifast, weight watchers, quick weightloss, LA weightloss & much more, including wellness initiatives at work. Sent from my LGMS631 using the BariatricPal App -
I have bcbs-ca What I'm reading online is not what I'm told when i call. It seems all i need is proof of obesity, surgery is medically necessary & get pre-authourized. I'm going to a uhealth seminar on Tuesday & hope all goes well. I'm praying I don't have to wait six months Sent from my LGMS631 using the BariatricPal App
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@@loren120515 I'm in FL& I have the same insurance. My company just switched to bcbs-ca. What was your experience getting approved, what requirements did u have to meet? I called & I was told the surgery is covered as long as its medically necessary, have my pcp letter & get it pre-authourized. Was that your experience? Sent from my LGMS631 using the BariatricPal App
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I read online some employers can op out of offering that benefit, it makes the plan cheaper. I recommend contacting your benefit person at work. Sent from my LGMS631 using the BariatricPal App
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I just wanted to add if you're paying out pocket for the surgery I believe you can claim it on your taxes vs. going overseas. I dnt know all the details but I read that somewhere online Sent from my LGMS631 using the BariatricPal App
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Anyone chose self pay due to impatience with ins?
Deletemyacct replied to fits_like_a_sleeve's topic in PRE-Operation Weight Loss Surgery Q&A
I would if I had to but, I'm going to go through my insurance & praying for a smooth process Sent from my LGMS631 using the BariatricPal App -
Will do! Sent from my LGMS631 using the BariatricPal App
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How much did you pay out of pocket?
Deletemyacct replied to Tina4heath4ever's topic in Insurance & Financing
My bcbs cover 80% after I've met my $2k deductible. I will finance the rest if i have to, i need this. Sent from my LGMS631 using the BariatricPal App -
I called my insurance & spoke to 2 different reps & 2 separate occasions & not much is required. They stated the surgery is covered as long as it's for obesity meeting the bmi requirements. I've set up an appointment to see an in network doctor. If I dnt have to wait 6mths I would be elated Sent from my LGMS631 using the BariatricPal App
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I have bcbs-ca & i called on several occasions & they said the same for my plan, I'm so surprised. I went to a center who told me they had the 6mths diet requirement so i believed them but when i spoke to my insurance directly they didn't have that & said some doctors have their own requirements not the insurance. I was told the procedure is covered for obesity, but I will consult with another doctor & go from there. Sent from my LGMS631 using the BariatricPal App
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My APPROVAL story with BCBS Federal (TX)
Deletemyacct replied to NewLife1985's topic in Insurance & Financing
That's awesome! Thank you for sharing, i have bcbs-ca & been trying to find the level of detail you provided for my insurance plan. Thank you & i hope all is well! Sent from my LGMS631 using the BariatricPal App -
Miami/Hialeah Gardens Area Anyone?
Deletemyacct replied to Floridian79's topic in Gastric Sleeve Surgery Forums
I am new starting the journey to approval & would love to meet & talk to others who have gone through the process. I am in the North Miami Beach/Miami Gardens area. Sent from my LGMS631 using the BariatricPal App -
I have BCBS-CA PPO. I had my first appointment yesterday, i have to have 6mths of nutritional visits. I have to show weight history for the past 3 years, I dnt know if I have all 3years. I have a BMI of 43. What were some of the challenges you experienced with meeting the requirements for the surgery? I am also using the OBand center which i believe is out of network, but they were not concerned. Share your experience getting approved or denied & appeals? Sent from my LGMS631 using the BariatricPal App
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BCBS-CA meeting requirements
Deletemyacct replied to Deletemyacct's topic in PRE-Operation Weight Loss Surgery Q&A
Awesome @@hopeful one thank you for sharing! Blessings on your journey! Sent from my LGMS631 using the BariatricPal App -
@ oh yes, I really appreciate your advice. I really want this but want to start of right & not waste precious time by not being fully informed. I also started googling reviews from patients who used that center. This is a holiday weekend so I will have to wait till Tuesday to contact my insurance. Thanks again! Sent from my LGMS631 using the BariatricPal App
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Have anyone used the O'band Centers for the sleeve, please share your experience. So far I've learned they are out of network, it was casually mentioned i'd received the checks from the insurance & bring them to my appoint. I really don't want to waste the next 6mths of nutritional visits required by my insurance. I will call my insurance to get more info but, I would like hear others experiences. Thank u in advance for your insight! Sent from my LGMS631 using the BariatricPal App
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@ I definitely will, thank you so much! Sent from my LGMS631 using the BariatricPal App