Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Do You Think It Is Possible?



Recommended Posts

I just got a call from my surgeons office. They told me that they had been in touch with my insurance and that I had coverage for lap band. They also told them what my out of pocket would be after my deductible. The only requirement they had was 5 years of my weight records. I have 4 years, but not 5. The fifth year, I only went to my obgyn and he has since passed away and I don't know where the records are. The surgeon said he would probably be able to get past the insurance because of not knowing where the records are. Has anyone had anything like this happen to them? Did you have luck with insurance, or was it a tug of war? I am keeping my fingers and toes crossed. I am so ready for a change in my life. Thanks......

Share this post


Link to post
Share on other sites

Good luck, I hope that yoru surgeon is very persuasive! Karen

Share this post


Link to post
Share on other sites

Congrats on getting closer to getting healthy...

All I needed was a 6 month pre learning to eat healthy (which i already knew...couldnt control the portions)

My dr just reported all the diets I had succeded at and all I had gained back...

GOOD LUCK !

Share this post


Link to post
Share on other sites

The OBGYN who passed away should still have office staff that has your records. By law, records must be kept for 10 years before being destroyed. So, I would contact either his former office or even possibly any hospital he was affiliated with to see how to get your records.

Best wishes to you.

Share this post


Link to post
Share on other sites

My insurance said the same thing but was never requested. Just had to do the 6 months supervised nutrition etc and got approved. Each insurance company is different so might be best to call insurance directly to get information

Share this post


Link to post
Share on other sites

I called the insurance and their only requirement is 5 years of weight records. No 6 months of supervised nutrition or anything, Yes each insurance company is different. It depends on the employer, not the insurance company, It can get crazy. Thanks for the info.......

Share this post


Link to post
Share on other sites

Yes, mis73 if I need to try to track them down I will. But, if the surgeon thinks he can get past it with the insurance, I'm not. I will find out on 12/12/12 when I see him again. It's not like I was somehow miraculously thin 5 years ago. Lol......

Share this post


Link to post
Share on other sites

I called the insurance and their only requirement is 5 years of weight records. No 6 months of supervised nutrition or anything' date=' Yes each insurance company is different. It depends on the employer, not the insurance company, It can get crazy. Thanks for the info.......[/quote']

Yes I know the employer makes the decision to have it as a covered option etc but your insurance should have all the details of requirement.

Share this post


Link to post
Share on other sites

Yes, thanks......

Share this post


Link to post
Share on other sites

Can you locate any records from 6 years ago or prior? Whilst you may be missing year 5, if you can demonstrate weight has been a struggle for a long term this is what the insurance company is after.

Share this post


Link to post
Share on other sites

I don't know about the 6th year. I will check if needed. Thanks.....

Share this post


Link to post
Share on other sites

Yes..I needed 3 years and I was missing one. The ins. Coordinator at my surgens office told me to write a letter and explain that I didn't have the 3rd year due to moving out of state. Was never an issue and was approved my first try. I had aetna insurance. Good luck!

Share this post


Link to post
Share on other sites

I was in the same boat but missing two years, and the surgeons office didn't sound very confident in sending any records over. I have since found a new surgeons office and they mentioned if I have a hiatial hernia my insurance will cover for half the surgery. I'm getting my edg to find out on the 27th.

Since checking with two different surgeons officices they have both told me different things pending an insurance approval. But one did ask me if I visited the year prior and what my weight was so u may want to check that. If not, maybe see if any pictures or weight watchers or any other recorded weight records will work or someone suggested a picture with the date on it then a handwritten letter of why your missing that year... Good luck to you!!!

Share this post


Link to post
Share on other sites

I will, thank you!!

Share this post


Link to post
Share on other sites

Yes I had the same thing happen to me my PCP lost my records and says he moved and left all records at old location. but when I showed up there was no longer a business there. I had to show BMI of 40 diet attempt in the last yr and nutritionist eval and psych eval and a clearance from PCP after 2nd day I was approved. BCBS FEDERAL OF FLORIDA so if your weight yo- yoed u should be fine.also it can be any doctor they're just looking for something with your weight charted.I even used a doctors walk in clinic to show proof.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×