Sleeveddiva605 8 Posted August 3, 2015 After years of research and finally making up my mind to make the choice to improve my quality of life. I am starting to feel this will NEVER happen..and I am bombed about it. I have been waiting for this surgery for years now. I did my research and decided on which I wanted and I made up my mind do have gastric bypass. At the time the insurance I had did not cover bariatric surgery. I swicted jobs a few years later and FINALLY the ins co I had would cover... I made up my mind to have surgery! I called my insurance company to see what was necessary I was told that my plan did NOT require the supervised weight loss. My surgeon's office was told them same thing. In January 2015 I was diagnosed with early stage breast cancer, so of course wls was put on the back burner. I am over that and all healed up so I go back to my weight loss journey. I get to one of my last appts last week (Nutrition) and was advised that I my insurance requires me to be on a 6 mo medically supervised weight loss plan...WHAT?!!!!! I know that a lot of people have to do this so when I 1st called my insurance company to see what was necessary I specifically asked that question and I was told that my plan did NOT require the supervised weight loss. My surgeon's office was told them same thing. I really wanted to get this done this year because I have met my annual deductible and the surgery would be covered by my insurance co 100%. ..a 6 month diet plan means I wont be done until December. Which will probably push my approval (surgery) into 2016..I can not afford to pay the high deductibles and fees. I am sooo disappointed and hurt. I was really beginning to accept this was going to happen...I am crushed...devastated!! I just want off this ride. Hopefully something can be worked out somehow...but if not...I am afraid that the "life" I have now is what is as good as it is going to get. has this happened to ANYONE else or does anyone know about how long the approval process takes??? Share this post Link to post Share on other sites
Brooklynrain 12 Posted August 3, 2015 All the appointmentsame for Dr visits to see even if you were eligible, orientation, nutrition and even a couselor appointment all count as part of your be months if they weighed you every time which they all do. So think back to when you first started talking about it with your Dr and it is probably noted in your records of the surgery and current weight. Share this post Link to post Share on other sites
Ms954jkwd 10 Posted August 16, 2015 I head told I had no wait also, but my BYN dr has guide lines so I went from December 2014 to May 6 2015 b4 I got mine I had so many test done that the dr required b4 surgery it took a long time I was ready to give up and my day was here. I say talk to the Dr you first saw and see if he can help you with your insurance problem I bet he will. Good luck Share this post Link to post Share on other sites
Niki15 198 Posted September 8, 2015 I was able to get mine done in 4 months as long as you have documintaion from like weight watchers etc I did all my dr appt and gave my journals was approved by ins in 2 days my process started in April and my Surgery was Aug 4th Share this post Link to post Share on other sites