Employer changes Ins.

Marlluvia · July 7, 2006

I received a letter from my employer yesterday stating that we are getting a new ins. carrier effective 9-1-06. My current ins. is UHC and they are covering the surgery,which is scheduled for next week. I have talked to my surgeon's office and they don't accept my new insurance carrier. My concern is follow-up care. I know nothing about this new ins. carrier and whether or not they cover WLS. If I needed to have additional surgery because of erosion, slippage, etc. I can't afford to self pay. Any suggestions or comments on this?

New ins. carrier is Texas True Choice, anyone know anything about it?

Elisabethsew · July 7, 2006

Most insurance numbers have a 1-800 number that you can call to check on benefit coverage. If your employer does not supply it, call and ask questions directly of the insurance carrier.

juliegeraci · July 7, 2006

Like Elisabeth, I would try and go to your employer and find out more information on the policy. My doctor is $200 a fill and with UHC he is asking me to pay $50 a fill up front. He is out of network so I don't know how much they are going to cover. You may be able to negotiate the fill price, but naturally your concerns will probably be around if you need another surgery, etc. Its best to check all of that out prior. Sorry this is happening to you. Best of luck.

sleepyjean · July 7, 2006

Most insurance numbers have a 1-800 number that you can call to check on benefit coverage. If your employer does not supply it, call and ask questions directly of the insurance carrier.

I agree, research the new carrier. If there is a likelihood that they would approve your surgery, I'd consider waiting until the switchover happens so as not to worry about everything being covered.