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  1. #1
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Name
    Courtney
    Join Date
    Oct 2013
    Last Activity
    12-04-2013 11:49 AM
    Location
    Overland Park,KS
    Posts
    4
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    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 1 Times

    Default Needing some information here!!!

    Hey guys I was wondering if I could get some needed info?? So I'm 5'8 246lbs and am looking to get the stomach sleeve surgery done.. Problem is I need to pick an insurance provider and I want one that wont give you a hard time and make it impossible for me to get the surgery..So anyone out here that has had luck as far as insurance goes?

  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member SleevedRN's Avatar
    I have had a gastric sleeve.
    Surgery date
    10/22/2013
    Surgeon
    David Kim, MD
    Join Date
    Oct 2013
    Last Activity
    07-18-2016 09:35 PM
    Posts
    167
    Said "Thanks" 3 Times
    Was Thanked 31 Times in 30 Posts
    Said "Welcome to Gastric Sleeve" 0 Times
    Blog Entries
    22

    Default Re: Needing some information here!!!

    No. Sorry! I paid out of pocket because my insurance required 6 months of supervised dieting. No thanks! I got a really good price on my surgery, though!



  4. #3
    Gastric Sleeve Member Julesmirage70's Avatar
    I have had a gastric sleeve.
    Name
    Jules
    Surgery date
    11/26/2013
    Surgeon
    Dr. Brad Snyder
    Join Date
    Jul 2013
    Last Activity
    05-25-2015 03:41 PM
    Location
    Houston, TX
    Posts
    340
    Said "Thanks" 0 Times
    Was Thanked 79 Times in 74 Posts
    Said "Welcome to Gastric Sleeve" 130 Times

    Default Re: Needing some information here!!!

    do you have medicare or medicaid?


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  5. #4
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Name
    Courtney
    Join Date
    Oct 2013
    Last Activity
    12-04-2013 11:49 AM
    Location
    Overland Park,KS
    Posts
    4
    Said "Thanks" 0 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 1 Times

    Default Re: Needing some information here!!!

    I'm on medicad

  6. #5
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    10/14/2013
    Surgeon
    Dr Oldham
    Join Date
    Oct 2013
    Last Activity
    11-20-2015 09:11 PM
    Location
    Louisville, KY
    Posts
    51
    Said "Thanks" 0 Times
    Was Thanked 10 Times in 10 Posts
    Said "Welcome to Gastric Sleeve" 21 Times

    Default Re: Needing some information here!!!

    I have Anthem BC/BS (I'm in KY). I did not have to do a supervised diet. I went to the seminar the end of July; I had my surgery on Oct 14.


  7. Gastric Sleeve Surgery With Weight Loss Agents
  8. #6
    Gastric Sleeve Member ScreamAndBeFree's Avatar
    I have had a gastric sleeve.
    Surgery date
    07/30/2013
    Surgeon
    Dr. Classen
    Join Date
    Jun 2013
    Last Activity
    04-15-2017 07:05 AM
    Location
    North Carolina
    Posts
    146
    Said "Thanks" 6 Times
    Was Thanked 30 Times in 29 Posts
    Said "Welcome to Gastric Sleeve" 10 Times
    Blog Entries
    32

    Default Re: Needing some information here!!!

    From what my doctor has said Medicaid (in NC anyway) will find any reason to deny and not pay for the surgery. I have BCBS State Health Plan for NC and they were very easy to work with. They did not require a supervised diet when I had the surgery but they do now as of last month. They also only required 2 years of weight history. Some insurances require 5.



  9. #7
    Gastric Sleeve Member hiddis's Avatar
    I have had a gastric sleeve.
    Surgery date
    11/13/2013
    Surgeon
    Dr. Wade Dunlap
    Join Date
    Oct 2013
    Last Activity
    12-05-2013 05:00 PM
    Location
    Wyoming
    Posts
    24
    Said "Thanks" 0 Times
    Was Thanked 3 Times in 3 Posts
    Said "Welcome to Gastric Sleeve" 4 Times

    Default Re: Needing some information here!!!

    I have United HealthCare and my doctors office requested pre-authorization on October 9 and I was approved for the surgery on October 19. They are not requiring a psych visit, nutritionist, supervised weight loss, nor any other pre-reqs for my surgery. My doctor said he has never had an insurance company come back that quickly and with no requirements. My surgery will be November 13. Good luck!



  10. #8
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Janice
    Surgery date
    01/30/2014
    Surgeon
    Dr. Jerome Schrapps
    Join Date
    Oct 2013
    Last Activity
    10-02-2018 10:41 AM
    Location
    Missouri
    Posts
    251
    Said "Thanks" 45 Times
    Was Thanked 54 Times in 50 Posts
    Said "Welcome to Gastric Sleeve" 4 Times
    Blog Entries
    4

    Default Re: Needing some information here!!!

    I have UHC and several requirements including a psych eval and 6 months of a doctor supervised diet. It has been really easy and painless, and everything has been handled on the back end. My copay for the procedure will be $200 for my hospital inpatient stay. Everything else is covered.


  11. #9
    Gastric Sleeve Member bikrchk's Avatar
    I have had a gastric sleeve.
    Name
    Heather
    Surgery date
    10/14/2013
    Surgeon
    Dr.Selim
    Join Date
    Aug 2013
    Last Activity
    06-08-2016 01:58 PM
    Location
    Kansas City Metro
    Posts
    936
    Said "Thanks" 3 Times
    Was Thanked 272 Times in 222 Posts
    Said "Welcome to Gastric Sleeve" 97 Times
    Blog Entries
    4

    Default Re: Needing some information here!!!

    I have BCBS of KS. I'm pretty sure all BCBS requires 6 months supervised diet, Nut, psych etc. Once I had met the requirements I sailed right through though.



    Don't worry about hurting my feelings because I guarantee you not one bit of my self esteem is tied up in your acceptance.

  12. #10
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Name
    Courtney
    Join Date
    Oct 2013
    Last Activity
    12-04-2013 11:49 AM
    Location
    Overland Park,KS
    Posts
    4
    Said "Thanks" 0 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 1 Times

    Default Re: Needing some information here!!!

    Thank you guys so much!!

  13. #11
    Gastric Sleeve Member christine53's Avatar
    I have had a gastric sleeve.
    Surgery date
    03/15/2013
    Surgeon
    Alejandro Lopez
    Join Date
    Jan 2013
    Last Activity
    03-01-2015 10:24 PM
    Location
    Nc-Sc
    Posts
    1,350
    Said "Thanks" 84 Times
    Was Thanked 229 Times in 213 Posts
    Said "Welcome to Gastric Sleeve" 162 Times
    Blog Entries
    1

    Default Re: Needing some information here!!!

    So glad I didn't have to go through the insurance crap



  14. #12
    Gastric Sleeve Member candik's Avatar
    I have had a gastric sleeve.
    Name
    Candi
    Surgery date
    11/27/2013
    Surgeon
    Paul Macik
    Join Date
    Sep 2013
    Last Activity
    08-14-2017 09:28 AM
    Location
    Atlanta, GA
    Posts
    250
    Said "Thanks" 2 Times
    Was Thanked 103 Times in 67 Posts
    Said "Welcome to Gastric Sleeve" 1 Times
    Blog Entries
    31

    Default Re: Needing some information here!!!

    I have Aetna and it was pretty simple. A visit with nutritionist, psych, and surgeon once a month for three months. After that was done it took less than a week for approval. I started the process in August and my surgery is scheduled for 11/27.
    My weight at start of my 2 week pre-op diet was 232
    My weight on the morning of surgery was 221



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  16. #13
    Gastric Sleeve Member ximmia's Avatar
    I have had a gastric sleeve.
    Name
    Laura
    Surgery date
    08/21/2013
    Surgeon
    Hawasali
    Join Date
    May 2013
    Last Activity
    10-13-2014 07:31 AM
    Location
    Michigan by way of England, Mumbai, Cairo and Boston
    Posts
    1,657
    Said "Thanks" 25 Times
    Was Thanked 440 Times in 415 Posts
    Said "Welcome to Gastric Sleeve" 829 Times

    Default Re: Needing some information here!!!

    I have blue care network (it's an HMO). Because my BMI was so high I didn't have to do the six months of supervised diet. I had the psych eval and stress test and then was approved. After that it was the EGD and ultrasound of my gallbladder (my surgeon likes to remove it when he does the sleeve) and then I had to wait forEVER for the actual surgery. There is a code insurance companies use... darn it I can't find it... but you can get the number and call companies and ask if they cover and what the requirements/costs are. I did my whole surgery for about $200. But I have to say I have really good insurance through my job.



  17. #14
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Adam
    Surgery date
    10/15/2014
    Surgeon
    Ajay Goyal
    Join Date
    Oct 2013
    Last Activity
    07-28-2015 07:31 PM
    Location
    Hopatcong, New Jersey, United States
    Posts
    15
    Said "Thanks" 1 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 9 Times

    Default Re: Needing some information here!!!

    I have Aetna as well. I am glad i saw your response. if you don;t mind me askign can you tell me whcih plan on aetna you have?



  18. #15
    Gastric Sleeve Member StacyD's Avatar
    I have had a gastric sleeve.
    Surgery date
    02/10/2014
    Surgeon
    Dr. Alexander Barkan
    Join Date
    Sep 2013
    Last Activity
    05-01-2017 05:19 PM
    Location
    Nassau County,Long Island
    Posts
    859
    Said "Thanks" 37 Times
    Was Thanked 146 Times in 140 Posts
    Said "Welcome to Gastric Sleeve" 4,740 Times
    Blog Entries
    2

    Default Re: Needing some information here!!!

    I'm on Empire / blue cross blue shield and had no 6 month waiting period. I can have my surgery when all my testing is completed. Good Luck with you journey!

    Every journey begins with one small step....

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