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

Pre op worried about insurance coverage, and everything else...



Recommended Posts

So, I have been lurking around on these boards for a bit, but was forced out of hiding yesterday when for some reason out the blue I decided to call my insurance company to discuss coverage. I have excellusbcbs and they directed me to their online policy which can be found here https://www.excellusbcbs.com/wps/wcm/connect/7626cc31-589a-449c-8757-09ef8ac1a985/mp+surg_obes+tac+12.pdf?MOD=AJPERES&CACHEID=7626cc31-589a-449c-8757-09ef8ac1a985 (if you care that much). When I asked about the obvious contradictions ( I meet the initial criteria and may or may not have a co-morbidity) I was told to contact my surgeon. I would like to have the vertical sleeve procedure. After lots of research it just seems to be the best fit to me, but I think it saying I can only have that surgery if I am super obese (bmi in excess of 50) No offense to anyone I have been super obese I started at 331, but I am now down to 295 and I would prefer to have that downward trend continue. I am wondering if I have excluded myself from that procedure through this diligence at diet and exercise modification, cause that would really suck. I know that my surgeon to be prefers (or at least I have read he does) to do the gastric bypass and I am still a candidate for that surgery, but I dont want to have that one. Anyone else with experience in this area? Feedback is greatly appreciated.

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

  • 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

    ×