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

Anyone from NY HealthFirst insurance ..



Recommended Posts

Hello, i wanted to know if you're from NY ? This is last month of my requirement journey. ( my around visit with my surgeon on June 4th ) what is to be expected that day ? I'm just so nervous.. Millions of thought racing through my head and no way of putting them on here lol.. I'm just a little worried about the approval. Everyone tells me not to worry I'll be fine.. But heck there's always a little preoccupation ... What do you think .. I have Healt First. My BMI is at 47.. I weigh 253.. I gained maybe 10 lbs since I started in December.. Which I doubt would be a problem being that I need to lose a little weight before surgery..,

Share this post


Link to post
Share on other sites

I think you will be just fine. I'm from NY and I work at a hospital. I tend to see a lot of patients that come in the morning for various surgeries including sleeve, lapband, and bypass. I've also seen many people with Health First and they all have approvals. Just remember, it's never set in stone if your insurance denies you. Your surgeon and his billing/precertification team just have to have the right push to fight for you. It could take a couple times but more likely than not the insurance will end up paying for it as long as you go through all their ridiculous requirements. As long as you did everything you were supposed to you will be fine! Also remember it benefits your insurance company as well. If you have a surgery to assist you with losing weight it also prevents you from other serious chronic conditions. This means that your insurance company would have to pay more in the long run if you didn't lose weight. They may be tough but they def aren't stupid and insurance companies love to save every penny they can get.

Share this post


Link to post
Share on other sites

It just taunts me and I sleep on this every night. Thinking that there's an approval thing here.. I just hate that they would make people go through all this and then be denied.. I'm scared of that!!! I've done everything already. I just have the psych next week and I'm done... Super nervous about that !!!!!!! ????????????????????????????????????

Share this post


Link to post
Share on other sites

<p><span style="font-family:Arial, 'sans-serif';color:#222222;font-size:10.5pt;">I think you will be just fine. I'm from NY and I work at a hospital. I tend to see a lot of patients that come in the morning for various surgeries including sleeve, lapband, and bypass. I've also seen many people with Health First and they all have approvals. Just remember, it's never set in stone if your insurance denies you. Your surgeon and his billing/precertification team just have to have the right push to fight for you. It could take a couple times but more likely than not the insurance will end up paying for it as long as you go through all their ridiculous requirements. As long as you did everything you were supposed to you will be fine! Also remember it benefits your insurance company as well. If you have a surgery to assist you with losing weight it also prevents you from other serious chronic conditions. This means that your insurance company would have to pay more in the long run if you didn't lose weight. They may be tough but they def aren't stupid and insurance companies love to save every penny they can get.</span></p><p></p>

So you think I'll be approved ???

Share this post


Link to post
Share on other sites

Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

Share this post


Link to post
Share on other sites

Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

I'm so exacted. I just have the psych Eval yikes.. What if you gained weight though ? They never told me anything about losing it keeping that weight

Share this post


Link to post
Share on other sites

Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

If you'd like we can text ... ??

Share this post


Link to post
Share on other sites

If you want you can pm me on here. I don't use my cellphone often because of my work schedule

Share this post


Link to post
Share on other sites

Let me look!

Share this post


Link to post
Share on other sites

Hey everyone, I have emblem health, does anyone know if I'll be approved? I'm 25 years old, 270lbs 5'4, I've been over weight my whole life, did diets, went to the gym and nothing ever worked for me :( , I'm just praying that I can get this surgery and be healthy for my daughter, I want to live a long life and I really need this, I have an appt with my surgeon next week on the 29th, I'm nervous !!

Share this post


Link to post
Share on other sites

Hey everyone, I have emblem health, does anyone know if I'll be approved? I'm 25 years old, 270lbs 5'4, I've been over weight my whole life, did diets, went to the gym and nothing ever worked for me :( , I'm just praying that I can get this surgery and be healthy for my daughter, I want to live a long life and I really need this, I have an appt with my surgeon next week on the 29th, I'm nervous !!

I feel you'll be fine hun. When did you start this journey? I have HelthFirst NY .. I'm also hoping to be approved.. SUUUPERRR nervous.. What have you gotten done so far

Share this post


Link to post
Share on other sites

Yes I just started this journey, I went to the seminar and I have my 1st appt with my surgeon next week, hopefully it all goes good, I'm in the bronx by the way, my surgery will be done in montefiore Hospital, they are known for performing many weight lost surgeries, :)

Share this post


Link to post
Share on other sites

I feel you'll be fine hun. When did you start this journey? I have HelthFirst NY .. I'm also hoping to be approved.. SUUUPERRR nervous.. What have you gotten done so far

thanks

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 0 replies
      1. This update has no replies.
    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 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

    ×