Received a letter from my insurance company! Yippy....

["MekaOnAMission" 12]

Hi guys! Hope all are well and in good spirits. As for me, i'm super excited. Got a letter from my insurance provider today. I have so many questions, so if anyone can answer, please feel free. I would really appreciate it.

1. The letter says my condition meets the coverage criteria, but is only a predetermination. Does this mean i'm approved?

[himalaya62 221]

I don't think so yet... But it's a start. It just means you either meet criteria with your BMI and comobitities but you still have to follow a doctor supervised weight loss program for the set time according to your insurance company and all the pre op testing including the psych eval. Stick with it though. It goes by quickly. I started in November and I'm being sleeved on feb 5. Good luck!

["MekaOnAMission" 12]

I don't think so yet... But it's a start. It just means you either meet criteria with your BMI and comobitities but you still have to follow a doctor supervised weight loss program for the set time according to your insurance company and all the pre op testing including the psych eval. Stick with it though. It goes by quickly. I started in November and I'm being sleeved on feb 5. Good luck!

Thanks for your input. I know you're very excited! I was shock when I heard, that I didn't have to follow a doctors supervised weight loss program. I really didn't per my insurance company because i've been with the company for more than 11 years and I have so called "history". I have been on my sleeve journey since Oct. and have completed all the steps, pre-op testing, psych eval and etc. Guess i'll call the Dr. today because this letter was sent to the doctor originally and cc to me...........

[himalaya62 221]

Wow! I hope I'm wrong then and they can schedule you soon! That would be awesome! Good luck!!!

[sarahzamudio1091 185]

I say pretty much !!! If they start classes and all that good stuff , ur pretty much in !! There not going to make u go to all the classes and then say oh forget it ... The only thing that would prolly prevent you would be if you didn't meet all their requirements as far as going to ur. Classes and not losing the weight if asked to do so by ur insurance co. Good luck and welcome

[Diamondeyed 399]

Good luck

[trujiyi 9]

Call your doctor's office. I was required to take a sleep apnea test but since we are only in January I had to meet my deductible and pay 20% out of pocket ( $1,700). I spoke to the bariatric coordinator and told her to forget it (after 6 long months and various appointments). Instead of letting the file be closed we agreed to put it through without the test. Low and behold, I got a call the next day saying I was approved. I scheduled my surgery for February 14. So definitely call your doctor's office. At this point I feel many of them have a rapport with the insurance companies.

[trujiyi 9]

Call your doctor's office. I was required to take a sleep apnea test but since we are only in January I had to meet my deductible and pay 20% out of pocket ( $1,700). I spoke to the bariatric coordinator and told her to forget it (after 6 long months and various appointments). Instead of letting the file be closed we agreed to put it through without the test. Low and behold, I got a call the next day saying I was approved. I scheduled my surgery for February 14. So definitely call your doctor's office. At this point I feel many of them have a rapport with the insurance companies.