jinxxy5 151 Posted September 9, 2013 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
Lady Denham 4 Posted September 9, 2013 Who has or know anyone that has GEHA insurance?? Share this post Link to post Share on other sites
Jerzygurl 372 Posted September 9, 2013 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
Lady Denham 4 Posted September 10, 2013 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
Gabriella28 2 Posted September 10, 2013 I have Anthem Blue Cross and I was approved within 24 hours. Sent from my S4 using VST Share this post Link to post Share on other sites
yups541 12 Posted September 11, 2013 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
Jerzygurl 372 Posted September 11, 2013 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
Jerzygurl 372 Posted September 11, 2013 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
LittleLou 31 Posted September 11, 2013 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
yups541 12 Posted September 11, 2013 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
J.Diesel 220 Posted September 14, 2013 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
lindsaygotsleeved 9 Posted September 17, 2013 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. 1 J.Diesel reacted to this Share this post Link to post Share on other sites