Welcome guest, you have 1 message! Register

Page 2 of 2 FirstFirst 12
Results 16 to 20 of 20
  1. #16
    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?

    did you have to do a 6 month diet?



  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #17
    Gastric Sleeve Member Grace's Avatar
    I have had a gastric sleeve.
    Name
    Grace
    Surgery date
    08/22/2011
    Surgeon
    Portsmouth Regional Hosp
    Join Date
    Apr 2011
    Location
    New England
    Posts
    4,264
    Said "Thanks" 919 Times
    Was Thanked 1,296 Times in 1,005 Posts
    Said "Welcome to Gastric Sleeve" 5,008 Times
    Blog Entries
    26

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

    Just call the customer service number on your card and explain you need to know the prerequisites for bariatric surgery and which procedures are covered under your plan. Usually they call this either a sleeve gastrectomy or a vertical sleeve gastrectomy. If you just say sleeve there is another procedure that is similar, an older one where they literally put a sleeve over the stomach, and you may get bad info.
    You can ask them to either email or snail mail you the pages so you have them in hand and know what you are up against.

    I have harvard pilgrim. I had to prove I'd tried on my own and used my online records from Atkins and my Weight watchers check in book. But at my high bmi and proof i had sleep apnea and arthritis they didn't seem to much care about that. I paid my surgical copay of $1000, and copays for the other visits for a total of about $1425 (so far, it's a 5 yr thing with a center of excellence)... The docs office had their own rules as well though. I had to lose 10% of my excess body weight before I could even see the surgeon.
    Best NSV - fitting on a kid's amusement park ride with my 4 yr old grandson!
    CFIDS =Chronic Fatigue Syndrome) Also dx with post-bariatric reactive hypoglycemia; and chronic gastritis (both sleeve complications). Permanently disabled.
    Start weight 335, down to 218, up during gastritis. Have accepted there is no way to lose it with my hypoglycemia. Current weight 260. Currently doing 10 day sleeve reset and determined to get back down to my post surgical weight or close to it.

  4. #18
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    05/09/2012
    Surgeon
    Dr. Chlysta
    Join Date
    May 2012
    Last Activity
    04-09-2013 12:51 PM
    Location
    Cuyahoga Falls, OH
    Posts
    49
    Said "Thanks" 10 Times
    Was Thanked 9 Times in 9 Posts
    Said "Welcome to Gastric Sleeve" 116 Times
    Blog Entries
    3

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

    I have medical mutual and they covered my surgery. They did require 6 months of supervised weight loss and psych evaluation. I do have really good. Insurance since my husband is a public employee. They just needed to see that the surgery was medically necessary and not just cosmetic.



  5. #19
    Gastric Sleeve Member SorentoSteve's Avatar
    I have had a gastric sleeve.
    Name
    Steven
    Surgery date
    06/12/2012
    Surgeon
    Dr. Denis Halmi
    Join Date
    Mar 2012
    Last Activity
    09-09-2013 05:01 PM
    Location
    NoVa
    Posts
    60
    Said "Thanks" 9 Times
    Was Thanked 21 Times in 14 Posts
    Said "Welcome to Gastric Sleeve" 5 Times

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

    Many of the people in my nutrition class the other day who have insurance as federal employees say that the sleeve is not covered but by-pass surgery is covered. I agree with everyone who said you can have the same company insuring you and have different coverage based on what your employer is willing to pay for.

    I have BCBS of Texas as I am employed by a TX company and mine will be covered by insurance minus the items that are not covered.



    No excuses. You CAN do this!

  6. #20
    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 Re: Will my INSURANCE cover the gastric sleeve surgery?

    Well I met with Dr. John Gonzalez June 1, 2012, immediately I connected with the doctor and that made me feel really good. Not only has he operated on people that work in the same company I work for but he also knew my primary care doctor. My insurance BCBS was accepted and they did cover the sleeve surgery. My total pay out was $700.00 ($200 deductible). They only require I take a nutrition class (already did the same day) and a phsycological test which I will do this week. There was NO 6 month pre diet required which I was happy to hear. Did not get a surgery date till the confirmed approval from my insurance was recieved but he did tell me that my surgery could very well happen with in 1 month. I am very excited and surprisingly I'm not nervous, at least not yet. Thought I would share this info. with all of you that responded to my thread, thanks. Will continue to post my journey to a new life. str672



  7. Gastric Sleeve Surgery With Weight Loss Agents

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
  •