Should I Call And Ask My Insurance Again?

[Kiki Von Moonshine 53]

So I called my insurance and asked if WLS was covered. The rep told me yes, but she couldn't tell me which one exactly. She said the doctor would "put it in" and then I will know whats covered. I'm like "huh?" Should I call again and ask. I think the person I spoke to didn't really want to get into specifics. I have a feeling only the band and bypass would be covered. Or should I wait until my consultation?

[Bedhead 158]

Call again and ask! I thought there was no way my insurance would cover the sleeve but low and behold I was approved!!! I called multiple times just to check and double check and recheck.

[MeMeMEEE 206]

there is a CPT code you can ask them to check 43775 they should be able to tell you if it is exculded

[Kiki Von Moonshine 53]

CPT code is like a code known by all insurance companies? Is that number universal? I will call them.

[Kiki Von Moonshine 53]

Bedhead, by any chance are you on another forum like this. I just saw someone with the same handle respond to a post of mine. I know its possible it can be someone else, but would be cool if it was you.

[circa 333]

yes CPT codes are universal. That is the best way to find out if something is covered.

[Kiki Von Moonshine 53]

Im waiting for my phone to get a good charge. So who would know/tell me how many months of weight management would be needed, the doctor or insurance? I'd assume insurance. The first time I called and asked for info, she said Id need to see a nutritionist. Then when I asked her how long, she tells me there's no set amount of time.

[Bedhead 158]

Bedhead, by any chance are you on another forum like this. I just saw someone with the same handle respond to a post of mine. I know its possible it can be someone else, but would be cool if it was you.

I am on another forum similar to this one! What was the post about??

[Kiki Von Moonshine 53]

I think it was a insurance question as well. Im a posting queen so I forget. Might be a New Yorker question, not sure.

[Bedhead 158]

If it was thinner times, it was probably me!!

[Kiki Von Moonshine 53]

Yea, it was.. Hehehe....

[Bedhead 158]

I like it there- but definitely prefer here bc we're all sleevers!

[Kiki Von Moonshine 53]

Just got off the phone with them and they said out would be covered if is a medical necessity. Couldn't tell me how long Id need to see the nutritionist. We shall see.

[Kiki Von Moonshine 53]

There is nice, I'm on about four sites.

[rebecca b 19]

the coordinator for the surgeon you pick should be able to tell you the requirements of the insurance company, also my coordinator said that after the inital call i should let them handle everything so there was little chance of a first denial. Good Luck!