circa 333 Posted September 11, 2011 Okay, I've been in and out of here for a few years now. This will be my 5th and final attempt at the surgery. Over the past 4 years, I have had 4 surgery dates, only to lose them at the last minute because I lose my insurance. This last time it was because the company I was working for just decided they didn't need to pay the insurance premiums - so now, not only do I not have insurance to cover surgery, I'm stuck with he bill for all the pre-op appointments, etc. Cash pay is NOT an option. My husband and I are in the process of moving out of this hell-hole of an area where employers just screw people repeatedly. His new company has Kaiser Permanente Insurance in Colorado. Anyone familiar with KP and whether they cover the sleeve and what the requirements are? Thanks Share this post Link to post Share on other sites
Lila21 36 Posted September 11, 2011 Wow, five times? Congratulations on your persistence, this must be so frustrating! I wish I had an answer for you on the insurance, but I only know Blue Cross. I hope it works out for you this time!!! Share this post Link to post Share on other sites
Driver Deb 10 Posted September 11, 2011 Okay, I've been in and out of here for a few years now. This will be my 5th and final attempt at the surgery. Over the past 4 years, I have had 4 surgery dates, only to lose them at the last minute because I lose my insurance. This last time it was because the company I was working for just decided they didn't need to pay the insurance premiums - so now, not only do I not have insurance to cover surgery, I'm stuck with he bill for all the pre-op appointments, etc. Cash pay is NOT an option. My husband and I are in the process of moving out of this hell-hole of an area where employers just screw people repeatedly. His new company has Kaiser Permanente Insurance in Colorado. Anyone familiar with KP and whether they cover the sleeve and what the requirements are? Thanks I am with Kaiser in California. They do WLS (RNY,Sleeve and Band) on patients with a BMI of 40 or greater with special circumstances like comorbid conditions like diabetes or knee and/or hip problems / arthritis , or in Patients with a BMI of 50 or more with no comorbid conditions. Share this post Link to post Share on other sites
MeMeMEEE 206 Posted September 11, 2011 Congratulations on your persistence!! I know there are alot of people here who have Kaiser - I see alot of people mention it. Might look over in the insurance forum to get some users and they can tell you all about the process! I know they seem to have lots of classes you have to go through! Share this post Link to post Share on other sites
Driver Deb 10 Posted September 11, 2011 This is the information binder they give us in class at Kaiser. This will give you some idea of what they teach before surgery. Be aware that all Kaiser Hospitals are different and have different processes... This Binder is from My facility. http://www.permanent...r/pdf/39806.pdf Share this post Link to post Share on other sites
kellyw74 258 Posted September 11, 2011 Yes, Kaiser does pay for WLS. However, you would have to look at YOUR plan and see if it is written that YOUR plan pays. Each Kaiser plan is different. If you don't know or aren't sure, call member services, they can help you! Kelly Share this post Link to post Share on other sites
circa 333 Posted September 11, 2011 Thanks everyone! I appreciate the supportive words and the quick replies! I have had nothing but hurdles - you'd think that with all the jumping I've been doing, I'd have lost a pound or two! Share this post Link to post Share on other sites
Driver Deb 10 Posted September 11, 2011 Thanks everyone! I appreciate the supportive words and the quick replies! I have had nothing but hurdles - you'd think that with all the jumping I've been doing, I'd have lost a pound or two! Be prepared to jump through a few hoops with Kaiser... They require a few classes and such to better prepare YOU. That way YOU aren't asking people on this board questions that should be answered already by your surgeon or aftercare staff... Share this post Link to post Share on other sites