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Deletemyacct

Pre Op
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Everything posted by Deletemyacct

  1. 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
  2. Deletemyacct

    BCBS-CA meeting requirements

    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
  3. 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
  4. @@2goldengirl oh ok, thank you for letting me know. Sent from my LGMS631 using the BariatricPal App
  5. Deletemyacct

    Am I jumping the gun?

    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
  6. Deletemyacct

    Miami/Hialeah Gardens Area Anyone?

    @@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?
  7. Deletemyacct

    I got the call l have been waited for!

    Congrats, how was your surgery? Sent from my LGMS631 using the BariatricPal App
  8. 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
  9. Deletemyacct

    Weight Loss Program documentation?

    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
  10. Deletemyacct

    Anthem Blue Cross California

    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
  11. Deletemyacct

    Help Please

    @@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
  12. Deletemyacct

    Prior Authorization?

    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
  13. Deletemyacct

    Self Payers in Florida

    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
  14. 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
  15. Deletemyacct

    BCBS-CA meeting requirements

    Will do! Sent from my LGMS631 using the BariatricPal App
  16. Deletemyacct

    How much did you pay out of pocket?

    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
  17. Deletemyacct

    BCBS-CA meeting requirements

    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
  18. Deletemyacct

    BCBS of TX PPO

    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
  19. Deletemyacct

    My APPROVAL story with BCBS Federal (TX)

    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
  20. Deletemyacct

    Miami/Hialeah Gardens Area Anyone?

    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
  21. 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
  22. Deletemyacct

    BCBS-CA meeting requirements

    Awesome @@hopeful one thank you for sharing! Blessings on your journey! Sent from my LGMS631 using the BariatricPal App
  23. Deletemyacct

    BCBS-CA meeting requirements

    @ 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
  24. 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
  25. Deletemyacct

    BCBS-CA meeting requirements

    @ I definitely will, thank you so much! Sent from my LGMS631 using the BariatricPal App

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