frust8 963 Posted March 10, 2018 In reading submissions from my bari-friends I have seen troubles with BCBS,United Health, Tricare, Blue Care Network, Medicare and Medicaid administered by state goverments. Are there any insurance entities in the US who treat patients in a kind, compassionate and decent manner or is that too much to ask of insurance-dom?Sent from my VS880PP using BariatricPal mobile app Share this post Link to post Share on other sites
Sleeve1stFitNext 924 Posted March 10, 2018 Honestly, it all depends on your insurance plan, state and benefits. Some plans are relaxed and easy while others are strict and difficult. I have United Healthcare through my Job in NYC. Due to my employer, my plan is very easy to navigate and what is covered. I do not have any issues with them and getting approval for any type of surgery. Actually I reached out (just to see the process) for a panniculectomy and received pre-approval. I do not have a weight goal that I have to reach. I just have to wait 6 months from my surgery date to get it. I call them all the time to inquire about information and they are always so kind and compassionate to me. 1 RNY2018 reacted to this Share this post Link to post Share on other sites
newmebithebypass 713 Posted March 10, 2018 I have care first blue choice open access in Maryland and yes i need 6 months but as long as i go to my meetings and get my psych eval i get my surgery paid for after i pay my like 200 dollar copay my insurance is amazing maryland is a great state and ive never had an issue with coverageSent from my LGLS676 using BariatricPal mobile app Share this post Link to post Share on other sites
frust8 963 Posted March 10, 2018 Thank you, like the Phil Collins song I thought I was living in The Land of Confusion.Sent from my VS880PP using BariatricPal mobile app Share this post Link to post Share on other sites
Creekimp13 5,840 Posted March 11, 2018 I had exceptional luck with Blue Cross Blue Shield of Michigan. Very fast approval, bills paid quick, reasonable copays. Share this post Link to post Share on other sites
kara2010 0 Posted April 3, 2018 I had exceptional luck with Blue Cross Blue Shield of Michigan. Very fast approval, bills paid quick, reasonable copays.This is so good to hear. I have the same insurance .. They waive the 6 months if bmi is greater tha. 50 and mine is.. Did u have to do 6 months?Sent from my LGMS210 using BariatricPal mobile app Share this post Link to post Share on other sites
istytehcrawk 256 Posted April 4, 2018 I have Health Alliance through the Illinois Marketplace, and it has been a dream so far. First letter approval and very friendly and helpful when I've called with questions or with the one issue I had (dietitian was supposed to be pre-authorized with the surgery but wasn't, so I got a charge for it even though it should have been free, and they fixed it right away). Share this post Link to post Share on other sites
Bryn910 519 Posted April 4, 2018 On 3/10/2018 at 10:04 AM, newmebithebypass said: I have care first blue choice open access in Maryland and yes i need 6 months but as long as i go to my meetings and get my psych eval i get my surgery paid for after i pay my like 200 dollar copay my insurance is amazing maryland is a great state and ive never had an issue with coverage Sent from my LGLS676 using BariatricPal mobile app This! I have had VSG under Aetna in Maryland and now I am having RNY under Kaiser mid-Atlantic in Maryland. For the Aetna I only needed 3 months before being approved & with Kaiser it seems like anyone is approved as long as you follow their 6 month program to a tee! But I never had to directly deal with the insurance companies. Have had everything handled bu docs, nurses/program coordinators. All of whom have been extremely helpful. Hope you find luck with your insurance company Share this post Link to post Share on other sites