Insurance wuestio

[NYJenn 1,463]

So I contacted my insurance (excellus BCBS) and asked them about coverage. The rep emailed me a copy of my policy and told me to go over it with my PCP. I have an appt with her on Thursday. My question is, once I go through the document with my doctor, To see if I meet the criteria (which I’m assuming I will) what next? Submit the request to insurance? Will my doctor know?

Age 37, Mom of 2 awesome boys

HW-288 lbs

Started journey 4/19/18

[porkytits 5]

If you are covered, your primary doc would most likely then refer you to a surgeon and then you’d go from there depending on what your insurance requires.

[NYJenn 1,463]

My PCP has already written a referral to my surgeon. I have already started the process, I feel like I’m doing things way out of order [emoji23]


Age 37, Mom of 2 awesome boys
Starting weight- 288 lbs

Seminar 4/19/18
1st nutrition appt 4/27/18
Physical 4/30/18

[porkytits 5]

lol that is so weird. I guess every situation and every policy is different.

[NYJenn 1,463]

Met with my PCP in Thursday, she assured me that I meet all the criteria. I’m going to call my insurance back tomorrow morning and discuss specific coverage now.


Age 37, Mom of 2 awesome boys
Starting weight- 288 lbs

Seminar 4/19/18
1st nutrition appt 4/27/18
Physical 4/30/18

[TaylorMade4One 105]

I would say review your insurance to determine how long you have to wait in order to be submitted for pre certification. Review all costs and test you may be required to get such as EGD, stress test, sleep test. I have a high deductible plan and WISHED someone broke down the costs to me. I'm a single mother on a budget and my surgeon's office calls me like "ok, your scheduled next week for your EDG wich may cost $2600 (estimate). Uggghh that sent me over the edge.