Group Health Cooperative Insurance experience??

[Changes 0]

Hello, I'm new to the forum and just starting the process of being considered for the surgery with my insurance. I was wondering if anyone has GHC in WA and could maybe give me some insight as to how their approval, or disapproval, went and what the considerations are. I have called the insurance company twice, but they keep telling me I have to talk to the doctors. Anyone have any tips that have worked with this insurance?

[MelindaH 3]

Hello, I'm new to the forum and just starting the process of being considered for the surgery with my insurance. I was wondering if anyone has GHC in WA and could maybe give me some insight as to how their approval, or disapproval, went and what the considerations are. I have called the insurance company twice, but they keep telling me I have to talk to the doctors. Anyone have any tips that have worked with this insurance?

I would call back and ask to speak to a manager if they do not divulge information. Also, ask for a benefits book through your human resources. Another option might be to google it.

Good luck and welcome to our forum,

Melinda

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Since there aren't a lot of people on here to seem to have dealt with ghc in WA, I guess I'll share my experience so far. I received approval for the bariatric surgery case management program. I have an intake interview with the nurse (phone interview) on Tuesday. I have received a check-list which I need to complete (I think within 3 months) which includes enrolling in Accomplish, completing the pre-surgery testing, talk to my pcp about contraception, and attending weight loss support groups through ghc. I will get more answers on Tuesday as to which tests I have to have done and when those will be done. I received information in the mail today about Accomplish, which is their pre & post weight loss program/nutrition program. Everything with Accomplish is done over the phone which is nice since I live an hour away from the clinic, but feels a little impersonal. Oh well. I am ready and willing to do whatever it is they require to get approved for the surgery. I am trying to stay positive and keep all the steps straight in my head. I am assuming that after I talk to the nurse Tuesday I will have a better idea of what to expect. I will keep an update here in case anyone else uses this insurance and has questions. I should point out that I have PEBB GHC.