Help Please

[koolbreez 0]

Hello All, not sure if I am typing in the right field but I have been researching the gastric sleeve for some time now and really think I want to get this. Is there anybody on here that has Info about individual insurance that I can get that would cover the procedure

[loren120515 16]

Hi, I have anthem blue cross blue shield ppo. They cover almost everything. The hospital stay and Doctor. My out of pocket was only 247 dollars which was for the anesthesiologist. I had my insurance for only 3 months when they approved my surgery.

[koolbreez 0]

Thank you so much. Does it matter what state you live in?

[loren120515 16]

I don't think it matters...I'm in CA how about you?

[koolbreez 0]

I'm in Louisiana my state wasn't listed on there

[Proud2BMe 1,016]

Self pay is also an option, just so you know. I had mine done in Tijuana and the experience was just the same as if I had it done in the states.

[Deletemyacct 39]

@@loren120515 I'm in FL& I have the same insurance. My company just switched to bcbs-ca. What was your experience getting approved, what requirements did u have to meet? I called & I was told the surgery is covered as long as its medically necessary, have my pcp letter & get it pre-authourized. Was that your experience?

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[Kindle 8,667]

Louisiana is one of the states that does not require individual ACA policies to cover WLS. So you are unlikely to find a policy at all that would cover it, unless your employer has opted to add that to their coverage. I am in ID and self employed so there is no policy from any company that I could get that would cover WLS.

Because of this you are probably looking at self pay. That's what I did.... Saved up for over two years, had VSG at the Obesity Control Center in TJ, lost over 100% of my excess weight and am keeping it off 2 1/2 years later. Good luck.

[loren120515 16]

@@Deuel30 My experience was pretty good. My insurance approved it right away. Do you have a surgeon already? My doctors office submitted everything and got it approved within 2 weeks.

[Deletemyacct 39]

@@loren120515 that's awesome, congrats! I have an appoint with a surgeon 6/22 & will be attending his seminar tomorrow night, hope all goes well!

Did u have your surgery yet? How's your experience so far?

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