Beginning Stages

[HealthierMe2017 22]

Hey everyone! My name is Katie and I'm just beginning this Gastric Sleeve adventure. I went to a required seminar and was given some questions to ask my insurance company. They were: what is the required bmi, how many nutrition visits are required and how many physicians visits. So the insurance company said that these limits didn't exist I just needed a pre authorization for surgery. I contacted the surgeons office to see if this sounded right and they said that the surgeon will tell me the required length or time and bmi. Does anyone have an idea if this sounds right? All the reading I've done I expected to hear 35 to 40 bmi, and 90 days or six months of nutrition and physician appointments. Does this mean my insurance might not have these limits or the surgeons office will tell me the requirements??

Edited January 3, 2017 by HealthierMe2017

[BubblesOhSoSleeved 129]

You can look up your requirements on your insurance website...with mine...I need 35 bmi with at least 1 comorbities and or 40 bmi healthy. Reaches my final growth 18 years of age and a psychologist stating in understood my post diet. Then there were my surgeons requirements as well

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[determined1LD 19]

Yep... My insurance said the same thing. My bariatric team that they have a set number of visits and bmi. So this is not all off the wall stuff. What insurance do you have?

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[HealthierMe2017 22]

Yep... My insurance said the same thing. My bariatric team that they have a set number of visits and bmi. So this is not all off the wall stuff. What insurance do you have?

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I have Carefirst bluechoice. I guess I just figured it would be a set number of visits before they paid for it. Do you know what the Bariatric team bases that on?

[determined1LD 19]

No i don't sorry

Determined1LD

[BubblesOhSoSleeved 129]

What state are you in @@HealthierMe2017

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[HealthierMe2017 22]

What state are you in @@HealthierMe2017

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I'm in Maryland!

[BubblesOhSoSleeved 129]

Ok i looked up your insurance and you do have requirements

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[BubblesOhSoSleeved 129]

http://www.obesitycoverage.com/bcbs this is the requirements on your insurance...I'm not sure how up to date they are but this is what found

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[HealthierMe2017 22]

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

[BubblesOhSoSleeved 129]

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

No problem, I'm an insurance agent myself and most insurance fall Center reps are not licensed. I would call again and see if you get a different answer and take fornication the names of who you speak with

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[HealthierMe2017 22]

Okay! I definitely will! Thank you for your help [emoji4]

[BubblesOhSoSleeved 129]

Lol no problem ????

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[Berry78 4,261]

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

No problem, I'm an insurance agent myself and most insurance fall Center reps are not licensed. I would call again and see if you get a different answer and take fornication the names of who you speak with

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"Take fornication...."

ROFL

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[BubblesOhSoSleeved 129]

Thank you! That is what I found and couldn't figure out what the insurance rep said she couldn't find any of these requirements. Maybe it's something they give the provider and not directly to the patient. Thank you for your help!!

No problem, I'm an insurance agent myself and most insurance fall Center reps are not licensed. I would call again and see if you get a different answer and take fornication the names of who you speak with

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"Take fornication...."

ROFL

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I meant take down lol

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