RaynaRayne

anyone have this insurance and get VSG done? If so how much did you pay and how hard was it to get approved? Thanks

I read some insurance will cover VSG as long as it's not laparoscopic...I thought it was always done laparoscopic so I'm confused. Thank you for your help

Hello I'm new year (and scared lol) I've been thinking about getting VSG and while doing all my research I pulled out all my insurance papers and it says it won't cover insurance won't cover "bariatric surgery unless medically necessary". I'm 350+ lbs and I know my BP is high so I do think it would be considered medically necesssay but I'm just wondering if I'm just getting my hopes up. I haven't been to a doctor in years so diabetes may also be something I've developed, I have really bad sciatica and PCOS. I guess my question is has anyone got their WLS approved with it's not covered but medically necesssay? I know zero about insurance stuff so idk how this all works. Thank you for your time

Ok so I spoke to my insurance people and I think I'm more confused and frustrated. Lol. 1. They will cover me if medically necessary. - ok great. 2. She tossed out a bunch of numbers to me when I asked her how much I would owe on my end. I explained that this was all new to me as far as dealing with insurance and she really didn't elaborate more on what I was asking her to in reguards to my payment part if there was anything. She aid "well you haven't meant your $250 deductible yet and you won't pay more than $6k in co payments for the year" - umm ok...more confused. 3. I asked her about the info linked to the screenshot I posted and she simply replied "yes that isn't anything knew and it's like that sometimes" - I felt this was so vague. 4. She kept telling me ALL wls are outpatient. I said not from all my research they're not..I explained all the info I've got on here and from watching YouTube videos from others and they all stayed at least overnight. She kinda argued about that saying it's all outpatient and it's been like that. So I'm frustrated thinking I would have better info today but I don't. Ugh. Thank you to all who commented...I have gotten more info and help on here than anywhere else.

I'm just starting the process as well, but I wanted to say hello. I'm a PCOS person so I know your struggles. Good luck!

That's why I was so confused lol

Ok...I took a screenshot of what someone sent to me saying some won't pay for it laparoscopic. Hopefully I can upload it here somehow..still new to this site

Thank you all...I also was very confused as well.

Thank you

Thank you both! Guess I need to focus one step at a time before getting all stressed out lol

My card has PPO on it as well.

Capital Blue Cross Shield. I called today but they're customer service dept closed at noon so I'll have to call back Monday. I'm just so so nervous because I don't want to get my hopes up...I'm not worried about a dr approving me because I know I meet the requirements it's just having the insurance pay for it is another thing...I don't even mind going through the 6month required meetings, appts, ect if need be.

I'm almost 100% sure it's well above 40 (which I'm ashamed to even admit that)