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

Poll: insurance acceptance/denial



Recommended Posts

Massachusetts.

Share this post


Link to post
Share on other sites

Aetna PA, 25 yo, bmi 45 with pcos, fatty liver and gerd -- denied because I gained 2 lbs during the nutrition period and the deemed it wasn't "medically necessary"(go figure). Secondary insurance won't cover. Able to submit three appeals (reconsideration, level 1 appeal and level 2 appeal). We will see how that goes.

Share this post


Link to post
Share on other sites

I have Medical Mutual of Ohio. I started out at 381 with no comorbidities. I had 3 months of nutrition and psych visits. I was approved the first time, no questions asked.

Share this post


Link to post
Share on other sites

I have BCBS and I live in Iowa.

I am 21 and was 330 pounds with a comorbidity (hypertension).

They required a visit with the dietician and a psychiatrist. Once I saw those two, I was approved for surgery, no questions asked.

Share this post


Link to post
Share on other sites

I have bcbs of florida but i live in raleigh nc...im 217lbs, very short only 5'1/2" and my bmi is 41.7 and was recently diagnosed with type 2 diabetes and sleep apnea...im worried my insurance will not approve me?..,im done with all the requirements and not sure whats next?...will the surgeons office will call me if im approve or not?

Share this post


Link to post
Share on other sites

I have Tricare Standard. They told me they require whatever the bariatric office requires. I'm having surgery at mayo Clinic in Florida. I was approved within days no stipulations. My starting weight 246. I have sleep apnea, pcos w/ insulin resistance, high cholesterol

Share this post


Link to post
Share on other sites

Here in Australia all you have to is have the right cover and wait the 12months, The surgeon suggest you make contact with hi 3months into the waiting period just so all your appointments can be made and done.

But I didn't and I did it after the twelve months and had all my appointments in 4 weeks and met him and got my date for 2 weeks later.

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 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

    ×