Insurance

[KatieD6982 68]

I have Highmark BCBS PPO Blue, I have my psych consult today and last check-in on Feb 11th (6th month supervised diet) I'm going nuts worrying about insurance approval.

-K

[Shan5311 36]

Has anyone had any experience with Tricare and their requirements ?

[mal0712 101]

Has anyone had any experience with Tricare and their requirements ?

I have tricare and I can't find out anything from anyone :/ I go see my surgeon tomorrow. Do u have prime or reserve select? It is ALL different as to what is covered, needed, as well as where u get it done

[CAC89 1]

I have Tricare Prime Remote (husband is active duty and we do not love near a Military base).

[CAC89 1]

Sorry, I hit reply too soon. From what I understand, tricare has the same requirements as other insurance companies for the most part. Though, they only cover lapband and gastric bypass.

So far they have approved everything for me.. I haven't met with my nutritionist yet or done the EDG, but they have been pretty easy to work with compared to other issues I've had with them in the past. If anything, you can call them and they can walk you through what's required and if you meet the requirements. You'll need to know your weight and your BMI.

[Shan5311 36]

I have had 2 appointments with the surgeon at this point. I spoke with the surgical coordinator and she said she was going to schedule all the required tests- labs, psych, US of gallbladder, nutritionist and exercise therapist. I have Tricare Standard and she said they never have a problem with approval for Bypass- the coordinator shocked me when I asked how long the process takes and she said of the tests all get done, she can schedules by the end of Feb!! I was not expecting that- I am just waiting for the curve ball from the insurance company.