Insurance requirements

[megieg 7]

I just got off the phone with my insurance. They said it pays 75% but the labs and doctors visit isn't covered does that mean all visits, the first one or after the surgery? Also it states I have to have documented failed weightloss attempt in the past six months. Does that mean I have to have been on a supervised diet for the past six months or just sometime in the past six months?

[Inner Surfer Girl 12,015]

These are questions you should raise with your bariatric team. They are experienced with working with the various insurance policies/companies. Or, call your insurance company again and get more clarification.

Best of luck.

[rnsamantha 352]

I think every plan is different. I know for my insurance (Meritain AZ), they only cover the actual surgery, but none of the work-up to surgery including office appointments for weight loss, surgical consult, psych eval, or sleep study. I was very careful to have some other type of medical complaint at my office visits and some of them were covered, although the insurance did deny a few because the office coded the primary complaint as obesity--which my plan doesn't cover. I did have to pay for my sleep study and psych evaluation out of pocket though and just shopped around for the best price. It stinks, but if I have to pay for some studies up front to get the surgery approved, I am willing to do so if it means I can attain a healthy weight.

[Jersrose43 837]

Suggest you call the insurance and get clarification. Blogs can't answer your question