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

How long did your insurance take to approve ?!



Recommended Posts

My paperwork was just submitted to Aetna on Friday...praying to have an answer sometime before mid-week!

Share this post


Link to post
Share on other sites

Who has or know anyone that has GEHA insurance??

Share this post


Link to post
Share on other sites

Who has or know anyone that has GEHA insurance??

I think they require a 6 month supervised diet before approval. But I would call them and check. They might have changed their policy much like BCBS who also had the same diet stipulation, but has since cut it down to 3 consecutive months of doctor's visits period.

Share this post


Link to post
Share on other sites

I think they require a 6 month supervised diet before approval. But I would call them and check. They might have changed their policy much like BCBS who also had the same diet stipulation' date=' but has since cut it down to 3 consecutive months of doctor's visits period.[/quote']

I called today and they said 6 mos proof of doctor supervised weight loss program. I'm going to start weight watchers this week and start counting down, psych eval is Monday so my 6 mos proof will be all I need.

Share this post


Link to post
Share on other sites

Good morning anyone have Cigna? Our plan admin said its not covered. He said he asked for an exception but Cigna wouldn't. Has anyone been thru that & still yet got approved?

Share this post


Link to post
Share on other sites

I called today and they said 6 mos proof of doctor supervised weight loss program. I'm going to start weight watchers this week and start counting down, psych eval is Monday so my 6 mos proof will be all I need.

You need to check with them to make sure Weight Watchers is acceptable. Some insurance companies really want you to seed a doctor like your PCP or a NUT for it to be considered 6 months...in addition, make sure it's 6 consecutive months too...if you break...you have to start all over. I did read a few post from people that were heart broken because their insurance companies would not accept WW as a valid "supervised" plan to approve surgery. Make sure you don't get caught off guard...check, double check and triple check if necessary.

Good luck.

\

Share this post


Link to post
Share on other sites

Good morning anyone have Cigna? Our plan admin said its not covered. He said he asked for an exception but Cigna wouldn't. Has anyone been thru that & still yet got approved?

Cigna has paid for WLS, the gentleman that joined with me, has it and he's been approved. But if your employer has a "bariatric exclusion" clause in its policy.not much you can do, but go self-pay or finance.

Share this post


Link to post
Share on other sites

I have CIGNA, and even though I haven't been approved yet, I know they cover the surgery. It depends on the package/exclusions that your employer chose.

Share this post


Link to post
Share on other sites

thank you sooo much, you're correct my employer explicitly made sure none of it would be covered :// oh well God will provide :) thank you all so much.

Share this post


Link to post
Share on other sites

I have BCBS IL and it took roughly 2 weeks for my approval. My Surgeon office took care off everything regarding the insurance approval. The Kane Center is Awesome fir those located near Chicago-Burbs!!

Share this post


Link to post
Share on other sites

I have Anthem BCBS and the insurance approval took just over 48 hours. I completed all the testing requirements on Friday, August 23 at 4:30 pm.The surgeon's office submitted my claim on Monday, August 25 at 9 am and Wednesday, August 27 at 5pm I received my confirmation that I was APPROVED. I was really impressed with my insurance company. They have even assigned me a case management nurse that is familiar with bariatric surgery to coach me through recovery.

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×