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

I just wanna cry !



Recommended Posts

I started this whole procedure back in Mayof 2008. I had done ALL the pretesting and was basically waiting on the final approval for insurance...

then I lost my job...and didn't have insurance for a total of 6 months (out of work 3 months, then had a 90 day waiting period at my new job)

So I finally get insurance w/ my new job and call to get the procedure "back on the books" and am told I now have a ONE YEAR pre existing condition waiting period...

Even though I started this procedure BEFORE I lost my insurance? ?????

So now I"m going to have to go through ALL of the pretesting AGAIN at the end of this year. So sad !!!:laugh:

Share this post


Link to post
Share on other sites

Unfortunately, if you hadn't started the process prior to losing your insurance it probably wouldn't have been considered a pre-existing condition. Or if you had some kind of interum coverage like cobra.

Of course it would depend on how the policy words what it does and doesn't consider a pre-existing condition. Rule of thumb (at least in my state) is that if you go more than 90 days (or 180 days if you have a policy with an insurance company and your next policy is with the same insurance company, like BCBS to BCBS will give you a 6 month grace period but BCBS to cigna only lets you go 90 days) uninsured any health problems you come into the policy with are considered pre-existing and can be excluded.

You might be able to go over your policy and get around it, but it will depend on how the policy is written and the laws in your state.

Good luck!

Share this post


Link to post
Share on other sites

I was out of insurance for a total of 168 days, but I had BCBS and went back to BCBS both through the companies I worked for....

Who should I contact to see if this is the case? The insurance company or the doctor's office?

Share this post


Link to post
Share on other sites

This is just my guess, but I would say that you should contact your BCBS and see if they have that 6 month grace period like bjornsyouruncle stated. Or if you have your insurance packet you could maybe read through there and see if they have a grace period???? Just my 2 cents, I hope you can get them to pay for it so you dont have to wait a whole year, that would really suck:thumbdown: Good Luck, keep us posted:cool:

Share this post


Link to post
Share on other sites

Your HR person might be able to give you more information, or definitely check out the paperwork you received from your insurance company (possibly a spiral bound notebook outline coverage rates and policies). You can always call them and get verification of their prexisting exclusions policy.

Good luck and keep us posted!

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

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

  • 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

    ×