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Not getting a clear answer

Laura Lopez

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Laura Lopez    20

Laura Lopez
Posted (edited)

My guess is if the surgeon says you don't or do need something, the insurance has to go with it. The surgeon is suppose to be the medical expert

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I hope so. I asked him if this doesn't work ( insurance approval) how much does the procedure cost he said 18,000. I immediately thought Mexico, I will go to Mexico. Then he added but don't worry I don't see a reason why you won't get approved just wait till next visit! why do they make it so hard to get approved!

Edited by Laura Lopez

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Read2016    658

Read2016
Posted (edited)

This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

I love Mexico but am too chicken to have my surgery there.

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Edited by nyteacher125

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kaitlynm    335

kaitlynm
Posted

I think they are just looking for a weight record, not supervised weight loss attempts. Have you been to see your PCP for a couple of years? That is who I had to get 5 years of records from for BCBS TX.

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Laura Lopez    20

Laura Lopez
Posted (edited)

This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

I love Mexico but am too chicken to have my surgery there.

Sent from my iPhone using the BariatricPal App[/quote

I am too! At the beginning of my journey Mexico was my only option. But then I was told that medical also covers this procedure I was excited and decided that I rather wait 6 months. I feel more comfortable having surgery here in the states than going to Mexico.

Edited by Laura Lopez

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Laura Lopez    20

Laura Lopez
Posted

I think they are just looking for a weight record, not supervised weight loss attempts. Have you been to see your PCP for a couple of years? That is who I had to get 5 years of records from for BCBS TX.

I've had different pcps. I have turned in 2013, 2014, 2015. All different doctors.

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Laura Lopez    20

Laura Lopez
Posted

I was told something similar by BCBS - Told me my Dr would need to determine requirements for prior authorization. I could not get anything in writing other than coverage info.

Isn't it frustrating. [emoji16][emoji16][emoji16]

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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