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Insurance Requirements?



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I have my first consultation on November 22nd. I've contacted my insurance to find out if WLS is covered, it is if it's deemed necessary, along with anything needed with surgery (hospital stay, IV, IV medications, anesthetic, etc.). I also asked what the requirements were in order to be deemed necessary.

They stated:

--100+ pounds overweight (my BMI is quite a bit over 40...)

--2 surgeons deeming it necessary (don't know if I go to see 2 different surgeons or how that works)

--pre-authorization through insurance.

I've read about many people having to do different tests, doing a diet, etc... Could that still be my case even if insurance didn't tell me over the phone?

Has anyone only had minimal requirements for their insurance?

Did you have lots of requirements through the Dr. office if you did/didn't have surgery requirements?

Lots of questions, but would love for anyone to reply!!

Thank you!!

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My insurance had minimal requirements but my surgeon had her own. I was required to do 3 visits with a dietitian, spread out over 3 months, a psych evaluation, physical therapy evaluation and attend a support group. It took me 3 months to complete everything and I had surgery on 11/1.

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