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

Easy Insurance Experience?



Recommended Posts

My doctors have not seemed concerned about insurance approval. I've completed all my tests and I'm set for surgery a month from tomorrow. I'm confused though because I see on here that a lot of people have to prepare packets and they have to wait for insurance approval. I didn't have to go through all that. It seems like the doctor has taken care of it all. I just hope I don't get everything done that the insurance requires, only to find out I'm rejected. However, again, they don't seem concerned about it at all and are acting like it's already been aproved and taken care of. Maybe this just depends on the insurance carrier. I use Highmark Blue Shield. I'm just curious if there is anyone else who had a painless insurance experience. I want to make sure that my experience is not completely abnormal. I wonder if this is something I should be worrying about? I have my last appointment before surgery on November 3rd so I will ask then, but figured I'd ask your input first. Thanks!

Share this post


Link to post
Share on other sites

Mine seems to be going well too. I had my consultation on the 6th i went to the seminar on the 13th ( i know i did that backwards!) I had my psyc eval done on the 20th and the request was submitted to the insurance on the 21st. I called the financial adviser today at my surgeons office and she said it usually take less than a week. all they requested from them was my bmi height and weight. they set my surgery date for nov 16th. hopefully ill know by Friday if its approved or not or if they need more info. I have united heath care choice plus. Maybe we're just lucky or have drs that take care of everything. either way i think were a minority. i have read a lot of problems with insurance on here. but like your dr, mine doesn't seem to be concerned with me getting approved. best wishes! hope it continues to go smooth!

My doctors have not seemed concerned about insurance approval. I've completed all my tests and I'm set for surgery a month from tomorrow. I'm confused though because I see on here that a lot of people have to prepare packets and they have to wait for insurance approval. I didn't have to go through all that. It seems like the doctor has taken care of it all. I just hope I don't get everything done that the insurance requires, only to find out I'm rejected. However, again, they don't seem concerned about it at all and are acting like it's already been aproved and taken care of. Maybe this just depends on the insurance carrier. I use Highmark Blue Shield. I'm just curious if there is anyone else who had a painless insurance experience. I want to make sure that my experience is not completely abnormal. I wonder if this is something I should be worrying about? I have my last appointment before surgery on November 3rd so I will ask then, but figured I'd ask your input first. Thanks!

Share this post


Link to post
Share on other sites

My doctors have not seemed concerned about insurance approval. I've completed all my tests and I'm set for surgery a month from tomorrow. I'm confused though because I see on here that a lot of people have to prepare packets and they have to wait for insurance approval. I didn't have to go through all that. It seems like the doctor has taken care of it all. I just hope I don't get everything done that the insurance requires, only to find out I'm rejected. However, again, they don't seem concerned about it at all and are acting like it's already been aproved and taken care of. Maybe this just depends on the insurance carrier. I use Highmark Blue Shield. I'm just curious if there is anyone else who had a painless insurance experience. I want to make sure that my experience is not completely abnormal. I wonder if this is something I should be worrying about? I have my last appointment before surgery on November 3rd so I will ask then, but figured I'd ask your input first. Thanks!

The insurance coordinator at my surgeons office took care of everything as well. My experience was painless. However I did call my insurance and asked about their coverage and requirements even before I picked a surgeon. My bariatric office then verified everything.

As far as I know, insurances won't approve until they have received all the paperwork they require. That is probably the "packet" you are referring to. I didn't send it though, my insurance coordinator did. I got approved less than 3 days later. We all run the risk of completing everything and then being denied.

The only difference seems to be, that my bariatric office does not schedule surgeries until after insurance approval and yours does. Also, I am not as patient and "hands off" as you. :P I emailed my insurance coordinator every once in a while to find out where I was in the process.

Share this post


Link to post
Share on other sites

I had a super easy experience. I had my consult one month and had to go back for two more months for my 3 month supervised weight loss. After the first visit I completed all my requirements within a couple of weeks.

Then I just waited for the remaining 2 months to arrive. The 3rd visit I was notified my surgeon was closing up his practice and switching all patients to another surgeon. I did not have any desire to go to this particular

surgeon so I searched another one and made an appointment. I then went to his information session which he requires. Two days later had my appointment and was scheduled that day for surgeon. The next day my

paperwork was submitted and within 24 hours I was approved. To me it was super easy and I am so happy that other surgeon closed practice because I wouldn't have found my new fantastic surgeon. He even uses a

smaller bougie so that excites me. I can't wait until Dec 7th...42 more days. Good luck to you!!

Share this post


Link to post
Share on other sites

I had a very easy insurance experience. All I did was call my insurance company to find out what my coverage was and any requirements. My surgeon's office confirmed everything.

For me, bariatric surgery was covered as any normal surgery and did NOT require preapproval as long as I met the BMI requirements and had both a NUT and psych eval before hand. I didn't have to submit anything to the insurance company to get approval before hand.

Share this post


Link to post
Share on other sites

My insurance experience was great. They required 3 consecutive visits and 5 yrs documented weight history. Insurance was submitted on Monday and I called on wednesday and was already approved! my surg date is Dec 5. Good Luck!

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

    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • 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

    ×