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busymomonli
Resident Insomniac
Member since 4/13 2046 total posts
Name:
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? for HR people
If I were to have a surgery under my company's health plan, are the people in HR informed? Can they tell what kind of surgery?
I am considering WLS, but don't really want them to know for my own reasons.
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Posted 1/24/21 8:03 PM  |
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NervousNell
Just another chapter in life..
Member since 11/09 54917 total posts
Name:
..being a mommy and being a wife!
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Re: ? for HR people
I imagine that would be a huge HIPPA violation so I doubt anyone would be told what kind of surgery you are having.
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| Posted 1/24/21 8:04 PM |
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busymomonli
Resident Insomniac
Member since 4/13 2046 total posts
Name:
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? for HR people
I figured that but I was not sure if they can see doctor names or diagnosis codes or anything like that. Can they see even the amount of my claim?
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| Posted 1/24/21 8:10 PM |
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NervousNell
Just another chapter in life..
Member since 11/09 54917 total posts
Name:
..being a mommy and being a wife!
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Re: ? for HR people
Posted by busymomonli
I figured that but I was not sure if they can see doctor names or diagnosis codes or anything like that. Can they see even the amount of my claim?
I don't think the company has anything to do with your insurance claims.
They negotiate the price of the insurance policy at the beginning of the year They set what they pay and what employee pays out per paycheck for the health insurance.
After that, it's not their concern what you use your health insurance for, how often, what procedures you get done etc.
Again, health privacy is very serious
Message edited 1/24/2021 8:15:56 PM.
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| Posted 1/24/21 8:15 PM |
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busymomonli
Resident Insomniac
Member since 4/13 2046 total posts
Name:
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? for HR people
Thank you, I appreciate it!
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| Posted 1/24/21 8:17 PM |
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Mrs213
????????
Member since 2/09 18986 total posts
Name:
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Re: ? for HR people
Posted by busymomonli
I figured that but I was not sure if they can see doctor names or diagnosis codes or anything like that. Can they see even the amount of my claim?
that information goes to the insurance company for billing purposes but nothing can be disclosed to HR.
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| Posted 1/24/21 10:02 PM |
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PitterPatter11
Baby Boy is Here!
Member since 5/11 7612 total posts
Name:
Momma <3
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? for HR people
If you are applying for FMLA then your doctor can disclose the Reason for surgery and it is not a violation of HIPPA.
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| Posted 1/24/21 10:51 PM |
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Elizabeth720
LIF Infant
Member since 10/05 192 total posts
Name:
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Re: ? for HR people
Regarding the surgery insurance claim, if your company's insurance plan is self-funded, HR can see the claims. If the plan is fully-funded, they won't see the claims.
Aside from the claims, I am assuming that type of surgery would require you to go on short term disability or FMLA. In either of those cases, HR will see the information from your doctor and reasoning.
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| Posted 1/25/21 2:33 AM |
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Blazesyth
*yawn*
Member since 5/05 8129 total posts
Name:
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Re: ? for HR people
Posted by Elizabeth720
Regarding the surgery insurance claim, if your company's insurance plan is self-funded, HR can see the claims. If the plan is fully-funded, they won't see the claims.
Aside from the claims, I am assuming that type of surgery would require you to go on short term disability or FMLA. In either of those cases, HR will see the information from your doctor and reasoning.
There is also the option of a company self-funded plan with a third party manager. Some self-funded companies will 'outsource' dealing with the claims, payments, etc so they don't have to deal with that headache and then they wouldn't see all of the details.
For the short term disability/FMLA, you should probably talk to the doctor; I'm sure they would be open to not putting in the exact details. They could write 'abdominal surgery' instead of giving exact details.
Regardless, in theory your HR should know not to share details with others but we all know how well that goes over sometimes.
Or, you can just think about changing your mindset about the surgery and who knows. It doesn't need to be a hush-hush thing. It's a tool. You using a tool to help improve yourself makes you a lot more admirable than others who just wallow and stay stagnant in their problems. And in the end, everyone is going to figure it out anyway. It's not like you are going to be 'in the closet' forever. Someone will put together that you disappeared for a week, are now on a liquid diet for a month and have lost lots of weight. If you think people at your office are the gossiping type and are going to talk, they'll talk about it whether you hide it or not.
I recently lost 200 pounds and had 2 rounds of plastic surgery to remove excess skin. IDGAF who knows, who talks, and what they think about it. Talk all you want and be jealous that you didn't do it, and that you don't have the determination or will to fix yourself.
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| Posted 1/25/21 12:30 PM |
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KateBennetReel
LIF Adolescent
Member since 10/15 555 total posts
Name:
Keep
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Re: ? for HR people
Posted by Blazesyth
Posted by Elizabeth720
Regarding the surgery insurance claim, if your company's insurance plan is self-funded, HR can see the claims. If the plan is fully-funded, they won't see the claims.
Aside from the claims, I am assuming that type of surgery would require you to go on short term disability or FMLA. In either of those cases, HR will see the information from your doctor and reasoning.
There is also the option of a company self-funded plan with a third party manager. Some self-funded companies will 'outsource' dealing with the claims, payments, etc so they don't have to deal with that headache and then they wouldn't see all of the details.
For the short term disability/FMLA, you should probably talk to the doctor; I'm sure they would be open to not putting in the exact details. They could write 'abdominal surgery' instead of giving exact details.
Regardless, in theory your HR should know not to share details with others but we all know how well that goes over sometimes.
Or, you can just think about changing your mindset about the surgery and who knows. It doesn't need to be a hush-hush thing. It's a tool. You using a tool to help improve yourself makes you a lot more admirable than others who just wallow and stay stagnant in their problems. And in the end, everyone is going to figure it out anyway. It's not like you are going to be 'in the closet' forever. Someone will put together that you disappeared for a week, are now on a liquid diet for a month and have lost lots of weight. If you think people at your office are the gossiping type and are going to talk, they'll talk about it whether you hide it or not.
I recently lost 200 pounds and had 2 rounds of plastic surgery to remove excess skin. IDGAF who knows, who talks, and what they think about it. Talk all you want and be jealous that you didn't do it, and that you don't have the determination or will to fix yourself.
Way to go! 
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| Posted 1/25/21 1:23 PM |
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busymomonli
Resident Insomniac
Member since 4/13 2046 total posts
Name:
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Re: ? for HR people
Posted by Blazesyth
Posted by Elizabeth720
Regarding the surgery insurance claim, if your company's insurance plan is self-funded, HR can see the claims. If the plan is fully-funded, they won't see the claims.
Aside from the claims, I am assuming that type of surgery would require you to go on short term disability or FMLA. In either of those cases, HR will see the information from your doctor and reasoning.
There is also the option of a company self-funded plan with a third party manager. Some self-funded companies will 'outsource' dealing with the claims, payments, etc so they don't have to deal with that headache and then they wouldn't see all of the details.
For the short term disability/FMLA, you should probably talk to the doctor; I'm sure they would be open to not putting in the exact details. They could write 'abdominal surgery' instead of giving exact details.
Regardless, in theory your HR should know not to share details with others but we all know how well that goes over sometimes.
Or, you can just think about changing your mindset about the surgery and who knows. It doesn't need to be a hush-hush thing. It's a tool. You using a tool to help improve yourself makes you a lot more admirable than others who just wallow and stay stagnant in their problems. And in the end, everyone is going to figure it out anyway. It's not like you are going to be 'in the closet' forever. Someone will put together that you disappeared for a week, are now on a liquid diet for a month and have lost lots of weight. If you think people at your office are the gossiping type and are going to talk, they'll talk about it whether you hide it or not.
I recently lost 200 pounds and had 2 rounds of plastic surgery to remove excess skin. IDGAF who knows, who talks, and what they think about it. Talk all you want and be jealous that you didn't do it, and that you don't have the determination or will to fix yourself.
Congrats to you, that's amazing! You are right, I shouldn't really care who knows. But I'm more okay with dealing with the after questions than someone trying to talk me out of it before. So I am trying to keep it on the DL until people start noticing. Is that weird? Idk, I'm a pretty private person I guess with stuff like this.
I do not plan on taking any FMLA or STD. I do plan on taking a week of PTO and then returning (if I feel up to it) to my desk job. The doctor said this is fine and a lot of people return after a week.
My company does have a company funded Health Care Reimbursement plan that reimburses me for out of pocket expenses so I'm guessing they will know from that, but maybe not until after when I submit my bills for reimbursement.
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| Posted 1/25/21 1:51 PM |
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Blazesyth
*yawn*
Member since 5/05 8129 total posts
Name:
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Re: ? for HR people
Posted by busymomonli
Congrats to you, that's amazing! You are right, I shouldn't really care who knows. But I'm more okay with dealing with the after questions than someone trying to talk me out of it before. So I am trying to keep it on the DL until people start noticing. Is that weird? Idk, I'm a pretty private person I guess with stuff like this.
I do not plan on taking any FMLA or STD. I do plan on taking a week of PTO and then returning (if I feel up to it) to my desk job. The doctor said this is fine and a lot of people return after a week.
My company does have a company funded Health Care Reimbursement plan that reimburses me for out of pocket expenses so I'm guessing they will know from that, but maybe not until after when I submit my bills for reimbursement.
I understand, I am a private person also. I don't think it's weird to not want to share everything with everyone. I did not have WLS, but when I had my skin removal surgeries I told only 2 people at work, my boss and a close friend. I wanted to tell my boss what was going on in case I needed extra time off, or if I just seemed distracted or 'out of it' for a little bit, then he would know what was going on.
If you're working from home, now is the time to do it. You'll be able to hide it more and your step back into regular working will be a lot easier. It was much easier to recover at home for extended period of time without having to commute, get dressed, etc. My first surgery was at the end of July, I think I've put a bra on less than 10 times since then  The only questions you'll get are "why are you taking time off if you can't go anywhere...." which you'll just need to deflect on. My surgeon was in another state so I just said I was going to Pennsylvania to sit in the woods. Hey, it's not a lie...... I just left out the fact that I was under anesthesia for 8+ hours. 
I didn't take PTO or FMLA since I had enough vacation to cover. Plus it would have been questionable if it was covered; figured it was better to not deal with that paperwork and the whole drama around it. Since we weren't going on a real vacation, we didn't miss out by me using vacation days.
Good luck with whatever you choose. Don't worry about what everyone else thinks. Easier said than done, I know. But for those people that are going to judge, if they dont judge this they'll just pick something else.
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| Posted 1/25/21 4:39 PM |
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