TAJ718

I can't wait for my turn!! Congrats!!! Sent from my SM-N920V using the BariatricPal App

Wow... thank you. Both Abbott and Unity are my "In-Network" Clinics/hospitals. Sent from my SM-N920V using the BariatricPal App Sorry for the late response, I'm just learning how to do this and I must have the notifications turned off?! Sent from my SM-N920V using the BariatricPal App

Thank you for the responses! I called right away this morning and talked to my insurance again and it looks like I don't need a referral for a sleep study, so I will be calling to set one up right away. I have reached my deductible and have about $1000 out of pocket left to pay on my plan... so might as well get there. Ugh. When I call for this appointment, would you all suggest that I mention I am really trying to get the bypass or not mention that? Do you think it could sway one way or the other!? Just want to cover all my bases! Again, Thank you!

Hi All, I am brand new. Going to my informational meeting tonight, provided by my insurance company. Health Partners in MN if anyone is familiar. My biggest concern is the requirements: Weight loss surgery is covered when the member has been evaluated and treated by an in-network designated weight loss surgical physician and all of the following are met: A member must have a documented history of BMI equal to or greater than 40 or a documented history of a BMI greater than 35 with associated health conditions that do not respond to medical management. Associated health conditions for the purpose of this topic are defined as: High blood pressure (BP) of 140/90 or greater, or Dyslipidemia with cholesterol LDL greater than or equal to 130 mg/dl, or Self reported sleep apnea with use of CPAP or other related sleep apnea treatments, or Diabetes with glycosylated hemoglobin level (HbA1c) that is greater than or equal to 7, Pseudotumor cerebri, and These health conditions are not responding to optimal medical management. I don't have these exactly... but I have some gastrointestinal issues, hernia, ulcer and my esophageal sphincter is wide open, my bmi is 38. I am hoping this will be enough to qualify or meet the requirements. Anyone have any words of wisdom? Advice? Maybe I'm on the wrong board... lol!?