on 11/6/12 3:07 am
I am fairly new to the lapband journey. I have me with my surgeron and he agrees that I am a good canidate I just need to wait for approval from insurance. This is where things get fuzzy. I am covered under my husband's insurance, which is blue cross blue shield. We live in Georgia, but his company is based out of Jacksonville, Florida, so our insurance card states BCBS of Florida. When I was doing all of my preliminary reserach I did all of it based on BCBS Fl which has just dropped their 6 month wait. This would mean that since I meet all other requirements I would be ready to submit my claim to insurance, but when the financial dept. at my surgeon's office spoke to my insurance company they said that technically I am under BCBS or South Carolina (who of course still require 6 month diet)! Has anyone come into this problem before. I am confused about South Carolina coverage and any help would be appreciated. Also when I looked into South Carolina's coverage their policy on bariatric surgery was up for review in Oct 2012, does this mean they could make changes to the policy to drop the 6 month diet? This is what Florida did recently. They review their policy and on Sept 12 dropped the diet restriction.
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My husband and I both had Gastric bypass and have had issues keeping motivated. I've lost 160+ and he las lost about 180ish I think. We haven't done horrible, but we definitely could do better : ) He and I have recently created a Charleston, SC support group for bariatric patients that need support and motivation. If you are interested in joining us feel free to message me your email address and I can send you the link to the group....
you can go directly to the group and request to be added (It's a closed group).. Here is the link
Hope to see some of you there to share stories, tips, and motivate each other!! : )
On a daily basis we get calls from members in desperate need of surgeons that will accept Medicaid and or Medicare for Bariatric surgery. It breaks our hearts when we have to say "we don't know of any surgeons in your state we can refer you to".
Can you please help us? If you know of any surgeons in your state that accepts Medicaid and or Medicare, will you list their:
If they accept Medicare and or Medcaid
This list will remain here for our members to access and use.
Thank you so much!!!
Sure I dont know anyone sown there yet other then you :-) My husband is from South Carolina and we just bought a House In Jacobs Creek. :-)
They do take Tricare. I had to have bloodwork done, endoscopy, psy eval & sleep study. I started this journey in April and my insurance require a 6mth weight mangement program I am on my 3rd month have 3 more to go so my surgery will not be until Nov. I am requesting you as a friend maybe we could talk a little more. Congratulations on being approved!!!!!