Emblemhealth HIP

[RomAnca 70]

Hi I just want to share with everyone that has Emblemhealth HIP in NY and are going through the requirements, that the supervised weight loss program can be either 6 months weigh ins with your PCP -OR- 3 months with your surgeon. I called and researched and was sent the attached from Emblemhealth. Feel free to print and show your surgeon. I forwarded it to my surgeon and he approved it as well. Just want to make anyone with this insurance aware that you don't have to wait a whole 6 months. On that note, I am having my 3rd visit with my surgeon next week. Hopefully, I can get a date then.

Emblem Pre Cert.pdf

Edited July 13, 2017 by RomAnca

[Brandeis 401]

Good luck!! I also had this plan; everything went PRETTY WELL though I had some problems with the particular hospital I wanted to go to. Even that got sorted though, you're going to be golden!!

[RomAnca 70]

Thank you. Did you do the 6 months or the 3 months? I just want to get this done already.

[Brandeis 401]

I only had to do 3 months, since I did it through a verified Bariatric program! I'm in Yonkers, so I went up to Montefior New Rochelle -- they have a great program, with a great monthly support group as well. I'm not sure quite where you're located, though I think I recognize your face from the NY thread. Queens, maybe?

[RomAnca 70]

Yes I'm from Queens. I'm going through my bariatric surgeon hopefully they approve me with 3 months visits to him.

[Brandeis 401]

I think they will!!

[RomAnca 70]

So I had to do the 6 months because they said they'd rather be safe than sorry. If they would have submitted with only 3 months and they deny me then I have to wait another 3 months to resubmit. I finished all my requirements and paperwork was submitted today. Just waiting on approval and Surgery is set for Oct 17th. Wish me luck.

[RomAnca 70]

Woohoo approved and Surgery set for October 17th. Start my preop diet on Monday. So excited and nervous at the same time.