Insurance approval timeline (GEHA)

[NavarreMom 15]

Greetings everyone!

For those of you with GEHA as your primary insurance, how long did it take to get approved for surgery? I have none of their listed co-morbidities, but I have degenerative & protruding discs in my lower back, arthritis in my back & knees, IBS, chronic fatigue & chronic migraines...none of which they care about though.

I'm 5'0", 204.8 lbs & my BMI is right at 40...so I can't afford to lose any weight or I will surely be disapproved! I've completed lab/blood work, 2 of the req'd 6 month supv weight mgmt sessions, psych eval, nutritional class, chest x-ray, abdominal ultrasound...the upper endoscopy is scheduled for next month and I will be done with my weight mgmt sessions by mid July. So based on your experiences, approx how soon can I look forward to an approval/response from GEHA?

[csawesome 181]

Okay first one co-morbidity that might help you is...

Severe arthopathy of the spine and/or weight bearing joints (when obesity prohibits appropriate surgical management of joint dysfunction treatable but for obesity.

But other than that the biggest thing is 6 months of supervised diet and exercize, psych clearence, surgeon consult. Once you get everything in they approve with 2 weeks for me.

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[NavarreMom 15]

Thank you so much for your reply!

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