Insurance Coverage/UHS

[Queenie 0]

Hello,

This is my first post. I have been a lurker for about 9 months now. I have been inspired in my Quest for the VGS by so many of you and your courage. I too have done all the research and feel that the VGS is my best chance for long-term success with the battle of the bulge, and the most safe & effective way for me to get there.

I have co-morbidies, along with my current BMI of 38.4, I am eligible for the surgery. I have Bariatric Insurance coverage for Bypass & Band, but I found out today from my surgeons office, no VGS coverage, "to date". Not FDA approved, blah, blah!! I work for a hospital that is a "Bariatric Center of Excellence" and promotes the VGS as a weight loss option, but won't cover it on their insurance for their employees. Ain't that about nothing!! My Bariatric Coordinator is suppose to talk to the Insurance Medical Director tomorrow.

Thoughts ~ Should I just submit my paperwork for the VGS with a letter telling them why I feel I should have the surgery (up front type of appeal) OR should I just wait for a denial to do an "official" appeal, OR should I just submit for the bypass. The Band is not an appealing option to me.

If I am going to do the Band, I might as well do Atkins another round, or another "diet". I don't want a bandaid this time. If it's not for the "long" haul, I don't want to do a drastic surgery. . .Someone told me a band is better than nothing, though.

Thanks in advance. Queenie :001_tt2:

Edited August 27, 2010 by Queenie

[mrspalmour 0]

I understand your pain. I work for UnitedHealthcare and they wont cover any obesity surgeries for their employees. Seems stupid to me.