Michigan- Mclaren HMP Insurance Question

[Heather Andrew 0]

Hello! I am in the mid-point, I hope, in my journey toward WLS. I am new to the forums here as well. I have Mclaren Healthy Michigan Plan and I am wondering if anyone has had any experience when dealing with the insurance company on getting approval and their requirements?

I started my journey three years ago diagnosed with uterine cancer after 10 months and was told by my oncologist that I had to wait a year before moving on with WLS. That incorrect information has caused a delay and may be a problem for me.

I will be calling the insurer Monday but I am wondering if anyone had first-hand experience with them.

Thank you in advance and have a great evening!

[Heather Andrew 0]

I wanted to add information that I was given by the nurse advisor at HMP.

They do require 6 months of documented weight loss; however, they may be willing to look at surrounding situations that create a problem for the patient.

BMI of 40 or more without comorbidities, under 40 with comorbidities, and all of the other stuff we already know, psych evaluation, referral, letter of medical necessity, and so on. A very awesome thing, it is a 2 week approval process so when everything is ready it will not be a long wait!

In my particular case, I showed required weight loss and kept it off before another health issue took over my life and the weight was gained over more than a year’s time. For now, again I am waiting to hear from the nurse advisor for my insurance to see if their approval board will take these extenuating circumstances and allow me to move forward!

Either way, I am back to the wl and have 3 months into it so the wait won’t be too long.