Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Dual insurance coverage?!?!



Recommended Posts

QUESTIONS... QUESTIONS...QUESTIONS....

Ok, I have Blue Cross Blue Shield through my full-time employer .....they do not cover the weight loss surgery at all.

I'm going back to my part-time federal employer who has Federal Blue Cross Blue Shield. They will cover the surgery and I plan on having it ASAP.

Once I have the surgery...and I get tired of working my part-time job a year later and decide to leave.

Would my Blue Cross Blue Shield from my other insurance cover the fills, etc.?

Share this post


Link to post
Share on other sites

Probably not but you should call and ask.

Share this post


Link to post
Share on other sites

I have Blue Cross and BLue Shield and they covered my surgery. I was borderline with aggravating options. sleep Apnea and Thyroid issues. I just had to go by there rule book. ^ months dr and dietician care and then paperwork was submitted approved in one day. Of course it depends on the type plan. But they do cover it, plus My dr was a "BCBS Center of Excellence" that helped as well plus they new the correct process for BSBS. Goog Luck.:grouphug:

Share this post


Link to post
Share on other sites

I have Blue Cross and BLue Shield and they covered my surgery. I was borderline with aggravating options. sleep Apnea and Thyroid issues. I just had to go by there rule book. ^ months dr and dietician care and then paperwork was submitted approved in one day. Of course it depends on the type plan. But they do cover it, plus My dr was a "BCBS Center of Excellence" that helped as well plus they new the correct process for BSBS. Goog Luck.:)

Unfortunately the insurance group plans differ. So, I don't think we have that here in Texas.

My state insurance is Blue Cross Blue Shield. And, my federal insurance to be will be Federal Blue Cross Blue Shield. The federal one will cover everything.....with the surgery... but the other insurance does not. It's a weird situation I know.

Share this post


Link to post
Share on other sites

QUESTIONS... QUESTIONS...QUESTIONS....

Ok, I have Blue Cross Blue Shield through my full-time employer .....they do not cover the weight loss surgery at all.

I'm going back to my part-time federal employer who has Federal Blue Cross Blue Shield. They will cover the surgery and I plan on having it ASAP.

Once I have the surgery...and I get tired of working my part-time job a year later and decide to leave.

Would my Blue Cross Blue Shield from my other insurance cover the fills, etc.?

If it is an exclusion to your policy, then it would not cover the surgery as well as not covering the fills. :)

Share this post


Link to post
Share on other sites

If it is an exclusion to your policy, then it would not cover the surgery as well as not covering the fills. :sad_smile:

My part-time insurance will cover the surgery. i was talking about if I ever left.... would my state insurance cover the fills, etc. later on down the road. Out of pocket is not too expensive I found out.....for fills, etc.

Share this post


Link to post
Share on other sites

My part-time insurance will cover the surgery. i was talking about if I ever left.... would my state insurance cover the fills, etc. later on down the road. Out of pocket is not too expensive I found out.....for fills, etc.

I am not sure excatly what you mean. If your state insurance is the one that excludes WLS, then when you quit your part time federal job and that insurance ends, then the state insurance would not pick up if WLS was excluded as this probably would include the fills. You would need to contact your customer service for the state insurance to see if it would cover it.

thanks, Crystal

Share this post


Link to post
Share on other sites

I am not sure excatly what you mean. If your state insurance is the one that excludes WLS, then when you quit your part time federal job and that insurance ends, then the state insurance would not pick up if WLS was excluded as this probably would include the fills. You would need to contact your customer service for the state insurance to see if it would cover it.

thanks, Crystal

lol i'm sorry. I read what you said wrong.

Share this post


Link to post
Share on other sites

I would think that your second insurance with the Full time employer(that did NOT cover the surgery) would look at it as a "Pre-existing" condition at that point anyway. But as long as you can at least get the surgery covered would be a plus, that is the big expense. Look at it this way. After you have your surgery and a year down the road post op. You will have more energy than you know what to do with, and the parttime job would just be a plus to keep you busy and moving!! Good luck!!

Share this post


Link to post
Share on other sites

I would think that your second insurance with the Full time employer(that did NOT cover the surgery) would look at it as a "Pre-existing" condition at that point anyway. But as long as you can at least get the surgery covered would be a plus, that is the big expense. Look at it this way. After you have your surgery and a year down the road post op. You will have more energy than you know what to do with, and the parttime job would just be a plus to keep you busy and moving!! Good luck!!

Yeah, even if the other insurance doesn't cover the fills, etc. I think I can handle the out-of-pocket.

Exactly tho on the part-time....

I did the part-time job for a year ... and left about a year ago..... I had to leave because I started feeling really fatigued and depressed. It was too much for my plate at the time.... I started having diabete type symptons...but, nothing was wrong. She just said I need to lose the 2nd job due to fatigue. I really didn't need the 2nd job anyway... I was just doing it for extra money to blow. lol

I think with me getting the surgery... I will probably be able to handle it due to the increased energy. I'm in the perfect city for excercise.... Austin, Texas.... there are alot of highly motivated people here.... so, i'm sure it will rub off on me. I just need that extra little push (lap band) that will help me. I'm very excited..but at the same time I am scared.

I will have the best insurance you can have.... so, I have a feeling it is going to be very quick and not alot of time to think about it. Which is probably better.... lol

I have learned alot from this forum..... I appreciate everyone's responses.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×