Anyone from NY HealthFirst insurance ..

[tammie30 43]

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..,

[sobrien89 0]

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.

[tammie30 43]

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 !!!!!!! ????????????????????????????????????

[tammie30 43]

<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 ???

[sobrien89 0]

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!

[tammie30 43]

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

[tammie30 43]

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 ... ??

[sobrien89 0]

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

[tammie30 43]

Just did hun.....

[sobrien89 0]

Let me look!

[jenniferx25 10]

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 !!

[jenniferx25 10]

I am also from NYC by the way,

[tammie30 43]

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

[jenniferx25 10]

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,

[jenniferx25 10]

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