Welcome guest, you have 1 message! Register

Page 1 of 2 12 LastLast
Results 1 to 15 of 20
Like Tree4Likes

Thread: Will my INSURANCE cover the gastric sleeve surgery?

  1. #1
    Gastric Sleeve Member str672's Avatar
    I have had a gastric sleeve.
    Surgery date
    07/17/2012
    Surgeon
    Dr. John Gonzalez
    Join Date
    May 2012
    Last Activity
    04-28-2013 09:13 PM
    Location
    Devine, Tx.
    Posts
    23
    Said "Thanks" 31 Times
    Was Thanked 1 Time in 1 Post
    Said "Welcome to Gastric Sleeve" 9 Times

    Default Will my INSURANCE cover the gastric sleeve surgery?

    I was wondering if anyone has a list of insurance companies that cover the gastric sleeve surgery? I've heard of some insurance companies will cover it and some will not. I currently have medical insurance with Blue Cross Blue Shield, did anyone that has had the gastric sleeve surgery have this same insurance? If so, what hoops did you have to go through, for insurance to cover it? Thanks for viewing...



  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgeon
    Dr. Erin Cummings
    Join Date
    Apr 2012
    Last Activity
    06-21-2012 09:09 PM
    Location
    Mississippi
    Posts
    22
    Said "Thanks" 5 Times
    Was Thanked 1 Time in 1 Post
    Said "Welcome to Gastric Sleeve" 11 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    Bcbs is different in every area. U can go on to bcbs for your plan and see if it does. I have had bcbs in other places and i wasnt covered but now i have bcbs fep and i am covered. I went onto the website and read it several times then called bcbs to make sure that i was clear in my understanding of coverage. Just waiting on the 3 months of supervision as required by bcbs fep.



  4. Said thanks:


  5. #3
    Gastric Sleeve Member Rebecca50's Avatar
    I have had a gastric sleeve.
    Surgery date
    03/05/2012
    Surgeon
    Dr. Curry
    Join Date
    Feb 2012
    Last Activity
    01-16-2013 01:02 PM
    Posts
    328
    Said "Thanks" 1 Times
    Was Thanked 58 Times in 57 Posts
    Said "Welcome to Gastric Sleeve" 597 Times
    Blog Entries
    1

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    Mine is BSSCTX and my insurance covered mine. You can call them or log on to their site and ck it out.



  6. Said thanks:


  7. #4
    Gastric Sleeve Member gesibelle's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/14/2012
    Surgeon
    Dr. Almanza
    Join Date
    Feb 2012
    Last Activity
    06-16-2013 04:44 PM
    Posts
    65
    Said "Thanks" 0 Times
    Was Thanked 10 Times in 10 Posts
    Said "Welcome to Gastric Sleeve" 47 Times
    Blog Entries
    4

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    The insurance company covers depending on your employers benefits and what they wish to cover. You will need to contact them because people can be insured with the same company but have different platforms, or benefits depending on what your employer is willing or not willing to pay.
    Mona likes this.


  8. Said thanks:


  9. #5
    Gastric Sleeve Member Chunz's Avatar
    I have had a gastric sleeve.
    Name
    Richard
    Surgery date
    05/16/2012
    Surgeon
    Dr. Norwood
    Join Date
    Apr 2012
    Last Activity
    11-20-2012 08:11 PM
    Location
    Louisiana
    Posts
    86
    Said "Thanks" 2 Times
    Was Thanked 9 Times in 9 Posts
    Said "Welcome to Gastric Sleeve" 2 Times
    Blog Entries
    3

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    I have bcbs..... I paid 467.67....... I also work for a huge world wide company though.
    aleos210 likes this.


  10. Said thanks:


  11. Gastric Sleeve Surgery With Weight Loss Agents
  12. #6
    Gastric Sleeve Member healthyinKC's Avatar
    I have had a gastric sleeve.
    Name
    Christy
    Surgery date
    06/12/2012
    Surgeon
    Fearing
    Join Date
    Apr 2012
    Last Activity
    03-08-2013 03:45 PM
    Location
    KC
    Posts
    49
    Said "Thanks" 7 Times
    Was Thanked 13 Times in 13 Posts
    Said "Welcome to Gastric Sleeve" 29 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    I have BCBS of Michigan and they cover the sleeve at 100 percent. I had to do a psych eval, 6 consecutive months of dieting, and get some letters signed from my primary care... The hoops are a pain, but from what I hear well worth it when you are on the losing side....



  13. Said thanks:


  14. #7
    Gastric Sleeve Member dachsie's Avatar
    I have had a gastric sleeve.
    Name
    Kim
    Surgery date
    06/04/2012
    Surgeon
    Joaquin Rodriguez
    Join Date
    May 2012
    Last Activity
    Yesterday 02:49 PM
    Location
    College Station, TX
    Posts
    1,462
    Said "Thanks" 66 Times
    Was Thanked 142 Times in 133 Posts
    Said "Welcome to Gastric Sleeve" 41 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    Insurance coverage will vary depending on what your employer has set up. Your best action is to get your coverage book out and call them to verify. I have SWHP and it did not cover until this year.



    Created by MyFitnessPal.com - Nutrition Facts For Foods

  15. Said thanks:


  16. #8
    Gastric Sleeve Member Phoenixrise's Avatar
    I have had a gastric sleeve.
    Name
    Phoenix Rise
    Surgery date
    07/06/2012
    Surgeon
    Dr.MedEviews
    Join Date
    May 2012
    Location
    San Diego, California
    Posts
    338
    Said "Thanks" 0 Times
    Was Thanked 64 Times in 57 Posts
    Said "Welcome to Gastric Sleeve" 3,947 Times
    Blog Entries
    32

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    Yeah and a lot of companies are taking it off as a covered surgery. I had got my insurance and that same month they stopped covering it but I know Blue Cross, Health Net, United Healthcare, Cigna, and I think Aetna. Call your insurance carrier to see if it is part of your coverage


    Patient Services Coordinator: India 619 218 7433

  17. #9
    Gastric Sleeve Member tempred's Avatar
    I have had a gastric sleeve.
    Name
    Shelli
    Surgery date
    01/30/2012
    Surgeon
    Dr Veninga
    Join Date
    Dec 2011
    Last Activity
    10-16-2014 11:47 PM
    Location
    Carrollton, Texas
    Posts
    529
    Said "Thanks" 75 Times
    Was Thanked 147 Times in 125 Posts
    Said "Welcome to Gastric Sleeve" 994 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    Our company is self insured, but BCBS manages our coverage and I was covered. Not sure, but I think that is the company not BCBS. Not sure that answers your questions, just call your insurance company.

    Good luck!



  18. Said thanks:


  19. #10
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Kelin
    Surgery date
    05/08/2012
    Surgeon
    Dr. Posner
    Join Date
    May 2012
    Last Activity
    08-19-2012 10:01 PM
    Location
    Buffalo, NY
    Posts
    64
    Said "Thanks" 2 Times
    Was Thanked 10 Times in 10 Posts
    Said "Welcome to Gastric Sleeve" 26 Times
    Blog Entries
    3

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    I have BCBS and everything was covered. No co-pays from surgery and for the next three months of visits. They were awesome about getting approval and my surgeon did everything. I just needed to do what my surgeon requested.



  20. Said thanks:


  21. #11
    Gastric Sleeve Member Carolynw's Avatar
    I have had a gastric sleeve.
    Name
    Carolyn
    Surgery date
    05/09/2012
    Surgeon
    Zak Rahman
    Join Date
    May 2012
    Last Activity
    05-09-2013 03:57 AM
    Location
    Hertfordshire, England
    Posts
    95
    Said "Thanks" 27 Times
    Was Thanked 17 Times in 17 Posts
    Said "Welcome to Gastric Sleeve" 67 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    You guys are all very lucky. No insurance company in the UK will cover any kind of bariatric surgery, so we have to self-fund.



  22. Said thanks:


  23. #12
    Gastric Sleeve Member MomtoGBandH's Avatar
    I have had a gastric sleeve.
    Name
    Susan
    Surgery date
    06/05/2012
    Surgeon
    Dr. Mario Almanza
    Join Date
    Apr 2012
    Last Activity
    07-14-2014 09:41 PM
    Location
    in the mountains in Oregon
    Posts
    51
    Said "Thanks" 13 Times
    Was Thanked 13 Times in 12 Posts
    Said "Welcome to Gastric Sleeve" 16 Times
    Blog Entries
    12

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    I posted something about this particular subject a while back, so I just went and found my post, and copied it. I will paste what I said here. Hopefully the information will be helpful to you.

    I read an article recently about WLS and insurance. If I remember correctly, there are only a few states that mandate coverage for WLS. In the other states, WLS must be "offered" but it is up to the employer to add that rider to their insurance coverage. It adds to the cost of insurance and that is why a lot of employers choose to leave that coverage off the plans they offer.
    It's too bad that we can't choose to add that coverage and pay the extra even if the employer doesn't. My insurance coverage specifically excludes coverage of any WLS surgery or any medically supervised weight loss plans. Guess they want to keep us fat so we die early and they have to pay less. Or, on the other hand, they can pay for all my complications from obesity (GERD, hypertension, high cholesterol, etc) which in the long run is gonna cost a lot more than they would pay for the surgery. I've tried to figure out their line of thinking but it sure doesn't make sense to me.
    Susan


  24. Said thanks:


  25. #13
    Gastric Sleeve Member *Lindsey*'s Avatar
    I have had a gastric sleeve.
    Surgery date
    05/23/2012
    Surgeon
    Dr. Richard Nguyen
    Join Date
    Apr 2012
    Last Activity
    06-06-2013 03:40 PM
    Location
    Ca
    Posts
    66
    Said "Thanks" 2 Times
    Was Thanked 24 Times in 22 Posts
    Said "Welcome to Gastric Sleeve" 3 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    I have Anthem Blue Cross in CA...its a PPO....In my experience, most PPO insurances will cover the procedure. I had a difficult time with mine, because there were only two hospitals that I had to choose from and of course the one I chose went into contract negotiations as soon as I was approved......8 weeks later I had a date, but those 8 weeks were so frustrating. The negotiations only happen during the first few months of the year, so this shouldnt be a concern :O)
    Cheers,
    Linds



  26. Said thanks:


  27. #14
    Gastric Sleeve Member gesibelle's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/14/2012
    Surgeon
    Dr. Almanza
    Join Date
    Feb 2012
    Last Activity
    06-16-2013 04:44 PM
    Posts
    65
    Said "Thanks" 0 Times
    Was Thanked 10 Times in 10 Posts
    Said "Welcome to Gastric Sleeve" 47 Times
    Blog Entries
    4

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    I have BCBS FL and they did not cover. It all depends on the employer and what they choose to cover. Some BCBS may also cover because of the different mandates in different states but for most this is excluded even if medically necessary.


  28. #15
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    ANTHONY
    Surgery date
    06/25/2012
    Surgeon
    Dr. Ramiro "Sonny" Cavazos
    Join Date
    May 2012
    Last Activity
    03-17-2013 02:32 PM
    Location
    SAN ANTONIO,TX
    Posts
    11
    Said "Thanks" 6 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Re: Will my INSURANCE cover the gastric sleeve surgery?

    i have bcbs michigan and they said they cover it but i gotta do a 6 month diet..does anyone know if i get a letter of necessity will they wave the 6 month diet?



Page 1 of 2 12 LastLast

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •