At my seminar today, the surgeon said that Kaiser covers VSG.
So, for those with Kaiser, I found this link stating their criteria for referral:
http://www.permanente.net/homepage/kaiser/pdf/38 105.pdf
But I need to know how many years of documentation they need at a particular BMI. For instance, Aetna (my insurer) wants two years of documented proof at your qualifying BMI.
Also...
Hi Mandy,
Yes, Kaiser does cover the sleeve. That was my reason to switch my insurance provider when I had wasted almost two years trying to get qualified with HealthNet, as it seems to be the case with Aetha for you. In the end, they decided I did not have a medical reason for VSG, which I later came to find out was not the truth (asthma).
The process at Kaiser is lengthy, but the ...
( Here, in Colorado, it took a year from starting the weight loss journey until I got my sleeve. I attended a 7 week "Weight Connections" class. Then had once a month sessions with the weight loss counselor for about 5 months, then took a 12 week "Surgical Connections" class. About a month later \(after a psych eval\), I got my sleeve. This was in October of '08. Since then I have ...
( I didn't have to demonstrate any history at a certain BMI or above. Just met the minimums \(and then some\).
I got the sleeve with Kaiser although it wasn't officially offered as an option. All the literature and pre-surgeon appointments I had discussed only band and RNY. It was my surgeon who looked at my medical history \(I've had three prior abdominal area surgeries\) and suggested ...
( Hey Laura, I just had my psych eval friday in Fremont. Dr Hahn has already emailed me saying I can get a VSG...So now I wait for a date... Ok Mandy, here is my experience...Also you can read my profile to see how long, and why its taken 3yrs... Anyhoo, we switched to Kaiser cause it was the cheapest ins. offered. I asked my PCP for a referral to the Bariactric program, and she ...
That is so funny because I was just telling my mom today that I HATED having Kaiser many years ago. It was the worst! I felt so controlled, like I had ZERO choices of my own (treatment, doctors, etc). They would just tell me how everything was going to be, who to go see, what they would do, etc.
I believe my mom has Kaiser now, or had it until she recently retired, and she loved it. I am ...
( In Northern California the whole process takes a year- from the day you first ask for a referral to the day you have surgery. Getting approved is fairly easy if you meet the BMI requirements. You don't have to prove how long you have been at the weight and you don't need to document previous weight loss attempts.
Kaiser is a low stress way to go, you don't need to deal with appeals and a ...
( While I was frustrated and impatient during the first months of the process, I am now SO grateful for the Kaiser hoops, I can't offer enough praise.
They do their darndest to inform you and to ease you into the wls lifestyle. I read about folks who had little pre-op prep, and I think, "Wow, the transition to the post-op life must be overwhelming for you." I'd already spent months weaning...
I have to second what everyone else said here about Kaiser. They were definitely not my first choice, I was very happy with HealthNet, but they denied VGS, and after my appeal, I was denied again. I wasted about two years with them, and finally went back to Kaiser. A a former member, I've been very impressed with the changes they have made for a HMO. I had my own private room, and the medical ...
I have to second what everyone else said here about Kaiser. They were definitely not my first choice, I was very happy with HealthNet, but they denied VGS, and after my appeal, I was denied again. I wasted about two years with them, and finally went back to Kaiser. A a former member, I've been very impressed with the changes they have made for a HMO. I had my own private room, and the medical staff were just great during my recovery. The...
( While I was frustrated and impatient during the first months of the process, I am now SO grateful for the Kaiser hoops, I can't offer enough praise. They do their darndest to inform you and to ease you into the wls lifestyle. I read about folks who had little pre-op prep, and I think, "Wow, the transition to the post-op life must be overwhelming for you." I'd already spent months weaning myself off my great obsession --...
( Hey Laura, I just had my psych eval friday in Fremont. Dr Hahn has already emailed me saying I can get a VSG...So now I wait for a date... Ok Mandy, here is my experience...Also you can read my profile to see how long, and why its taken 3yrs... Anyhoo, we switched to Kaiser cause it was the cheapest ins. offered. I asked my PCP for a referral to the Bariactric program, and she referred me that day. I got an appt. for the orientation...
( Here, in Colorado, it took a year from starting the weight loss journey until I got my sleeve. I attended a 7 week "Weight Connections" class. Then had once a month sessions with the weight loss counselor for about 5 months, then took a 12 week "Surgical Connections" class. About a month later \(after a psych eval\), I got my sleeve. This was in October of '08. Since then I have attended once a month sessions...
( In Northern California the whole process takes a year- from the day you first ask for a referral to the day you have surgery. Getting approved is fairly easy if you meet the BMI requirements. You don't have to prove how long you have been at the weight and you don't need to document previous weight loss attempts. Kaiser is a low stress way to go, you don't need to deal with appeals and a lot of requirements, you just need to...
( Is your insurance through your employer or through your husband's employer? Is there a way you can get Kaiser for yourself through your employer and keep your family on another insurance through his employer? Come January, my husband and I will be on different insurances through our own employers - much more affordable in our case. ,)
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