Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I called my insurance company after chatting with my DR to see about a gastric surgery. I was told it was a specific exclusion in my policy...not even if deemed medically necessary. So, am I out of luck for any coverage?

Sent from my SM-G920V using the BariatricPal App

Share this post


Link to post
Share on other sites

I'm sure your Dr.'s insurance department can give you more information, but it does sound like your plan doesn't cover the surgery. :(

Share this post


Link to post
Share on other sites

I called my insurance company after chatting with my DR to see about a gastric surgery. I was told it was a specific exclusion in my policy...not even if deemed medically necessary. So, am I out of luck for any coverage?

Sent from my SM-G920V using the BariatricPal App

Yes, unfortunately your out of luck. My employer policy has exclusion for wls and plastic surgery no matter the reason. Your only option is cash pay in the states or Mexico or some surgeon's will do it at a reduced rate if you have a Hernia that is covered by insurance.

Sent from my Z958 using Tapatalk

Share this post


Link to post
Share on other sites

A friend of mine had a policy that did not cover W LS so she changed insurance policies. She's willing to pay a little more in co-pays to have insurance that covers what she needs.

HW - 283

SW- 238

CW- ?

Share this post


Link to post
Share on other sites

Not every employer plan excluded Bariatric surgery. One of my friends that is just starting the process has it covered through her husband's work insurance. Employers can separately choose to exclude it from the coverage they offer you.

HW - 283

SW- 238

CW- ?

Edited by Chicken Lady

Share this post


Link to post
Share on other sites

All work policies exclude this.

Sent from my SM-G920V using the BariatricPal App

Why do they exclude ? Changing plans ?

Sent from my iPhone using the BariatricPal App

It keeps the cost of our insurance down.

Share this post


Link to post
Share on other sites

chicken Lady" data-cite="Chicken Lady" data-ipsquote-timestamp="1478323259">

Not every employer plan excluded Bariatric surgery. One of my friends that is just starting the process has it covered through her husband's work insurance. Employers can separately choose to exclude it from the coverage they offer you.

HW - 283

SW- 238

CW- ?

Sorry, I meant to say MY insurance...all levels offered, exclude and bariatric surgery and weight loss programs. What adds insult to injury is that since my company was been bought out, 3 years ago, I started to work even longer hours, stopped working out regularly, resulting in gaining 65lbs over that time......and then they dont cover anything to help reverse the damage.

Luckily, things have been settling more and I am back to trying to regain my life. I was obese before being bought out...but this just made it worse.

Share this post


Link to post
Share on other sites

All work policies exclude this.

Sent from my SM-G920V using the BariatricPal App

Absolutely not true. My policy through work covered my VSG in 2014 and my current policy covered my revision to RNY in July which was needed due to severe GERD. So your statement is 100% false.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

All work policies exclude this.

Sent from my SM-G920V using the BariatricPal App

Absolutely not true. My policy through work covered my VSG in 2014 and my current policy covered my revision to RNY in July which was needed due to severe GERD. So your statement is 100% false.

Sent from my iPhone using the BariatricPal App

Please understand that the word "MY" was missing from the post. All policies MY work offers has it excluded.

Sent from my SM-G920V using the BariatricPal App

Share this post


Link to post
Share on other sites

Some employers will exclude if they have the option but it is my understanding so states don't allow for the exclusion.

Sent from my Z958 using Tapatalk

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×