Advice need on the "approval" process in California

[mirabb2002 14]

Hi, I'm currently attending weight management education. Any information regarding the next step to take would be wonderful. I'm so excited and looking forward to what's to come.

[FitnFabfor2014 358]

Have you confirmed that your insurance will cover the surgery and how much you will have to pay out of pocket?

[mirabb2002 14]

No I haven't. What do I ask ? And is that I red flag for them?

[cejiogu 182]

No but you should check to make sure they cover it. I am in California and my only out of pocket was the 250 dollar co pay plus the usual 20 dollars when I see the doctor. If you have flex spending account a and your surgery will be after Jan 1 you can figure out the cost and use the account. That is what I did.

[FitnFabfor2014 358]

No not at all. Most insurance companies send you the requirements for bariatric surgery. A check list of sorts. They also give you the time line. In my case (Health Net) requires a 6 month check in period. During that time you have to do various requirements. I would start there. Then you'll have a better understanding of what to do next. Just ask them if they cover bariatric surgery and ask if they can send you the guidelines or requirements. And whatever you do don't miss a month of weigh in's. If you do you have to start from the beginning.

[mirabb2002 14]

Thank you for your suggestions. I called this morning and gave me the information I needed. But won't get approval until Ive completed the course and eval. I'm 8 into my weight management required classes. So excited to have them done and start the process I just want to hear or see the words YOUR APPROVED. I've waited for so long and excited for what the future will bring. Thank you for your support!