That_816_Princess
Starting the Insurance Dance
Jul 15, 2010
This will be ongoing. But this is what I have learned about medicare so far.
as of 7/14/2010 you have to have or had these things
1) BMI of 35+ 2)1 weight illness like diabetes or hypertension/high blood pressure.
3) Unsuccessful with medical treatment(did not say how long)
4) Approve Facility
5) Will cover the band or gastric bypass
Coverage Hospital Part A will have a deductible of $1100
Medical Part B is 80%/20% with the 20% coming from me.
(Maybe I need a secondary)
So I called my local Medicaid office too.
This is what I found out...
NOTHING!! ha ha...
the guy would not give me any information on pre-qualifier.
But he did say this.
1. Meet my spend down of $100 dollars. Meaning that I can pay that out of pocket or send them a money order for that amount.
2. The Doctor and hospital should bill Medicare first and then send Medicaid the reminder.
3. He said GOOD LUCK
So stay tuned and lets see how all this will play out.
0 comments
as of 7/14/2010 you have to have or had these things
1) BMI of 35+ 2)1 weight illness like diabetes or hypertension/high blood pressure.
3) Unsuccessful with medical treatment(did not say how long)
4) Approve Facility
5) Will cover the band or gastric bypass
Coverage Hospital Part A will have a deductible of $1100
Medical Part B is 80%/20% with the 20% coming from me.
(Maybe I need a secondary)
So I called my local Medicaid office too.
This is what I found out...
NOTHING!! ha ha...
the guy would not give me any information on pre-qualifier.
But he did say this.
1. Meet my spend down of $100 dollars. Meaning that I can pay that out of pocket or send them a money order for that amount.
2. The Doctor and hospital should bill Medicare first and then send Medicaid the reminder.
3. He said GOOD LUCK
So stay tuned and lets see how all this will play out.
SEMINAR DONE!!
Jul 14, 2010
It was a very good seminar, I like Dr. Sorensen. He was well versed in what he was doing and had great training. My mother even felt comfortable with my choice to precede. Sandy his nurse that was with him, who also had WLS was so delightful. I know I am choosing a good place.
So I have filled the packet that was giving to me out and called Medicare to see what I would need to do.
Here is Medicare's list
1) BMI 35+
2) 1illness like diabetes or hypertension < I have had high blood pressure since April mater of fact on a water pill now>
3) Unsuccessful with medical treatment
4) Approve Facility
5) Have a lap band or Gastric Bypass < I do not like the idea of a band so I am going for a bypass>
So the leg work begins. I am gonna try and get past weights and all kinds of good stuff..HEALTHY LIVING HERE I COME...FULL SPEED AHEAD!!
0 comments
So I have filled the packet that was giving to me out and called Medicare to see what I would need to do.
Here is Medicare's list
1) BMI 35+
2) 1illness like diabetes or hypertension < I have had high blood pressure since April mater of fact on a water pill now>
3) Unsuccessful with medical treatment
4) Approve Facility
5) Have a lap band or Gastric Bypass < I do not like the idea of a band so I am going for a bypass>
So the leg work begins. I am gonna try and get past weights and all kinds of good stuff..HEALTHY LIVING HERE I COME...FULL SPEED AHEAD!!
HAPPY DANCE 2 BUT ALSO NOT SO GOOD NEWS
Jul 12, 2010
Ok..lets do the good news first... we are down to 282lbs....YAY... I must keep drinking my water and walking..and watching what I eat...
now the bad news
My blood pressure has been high...
April 133/89
April 145/98
June 136/90
and today...July 12th 2010 131/93
She gave me water pills...so I think i will need a diaper soon...
Good new...
I GO TO MY FIRST SEMINAR TOMORROW....DR PRICE AND DR SORRENSON...WATCH OUT HERE I COME..
0 comments
now the bad news
My blood pressure has been high...
April 133/89
April 145/98
June 136/90
and today...July 12th 2010 131/93
She gave me water pills...so I think i will need a diaper soon...
Good new...
I GO TO MY FIRST SEMINAR TOMORROW....DR PRICE AND DR SORRENSON...WATCH OUT HERE I COME..
The Decision Has Been Made In My Mind.
Jul 01, 2010
For me it was the thought: "Damn I need help."
Second it was the email; "Hey you 2, I am fat and not happy.'
Third the replay: "Go to OH and read. Read my story and others look in the forums."
Forth So I did.
So from there I have asked questions and stalked people. I have read and looked at pictures. I really try to look at people that are in the 280-300lb before so I can see ME.It is funny how that much weight looks different on different people. I have made my first seminar appointment. I have invited my close friend and mom. I do not know if will take my daughter. She is 15 and kind of on the border of being a child but not. As of today, my mom is going with me. It feels good having her support.
I also want to thank all my forum posters, people who have emailed me, people who regularly blog and advise thank you.
I have learned a lot. I know that if i keloid it should only be a few little spots. I will wear them with pride and a little Vitamin E oil. If I loose my hair. It will grow back 1 and if i stay on top of my protein and add some biotin I should be OK. I am one with hanging skin if it means less pain when walking or just standing. That can be taken care of later when I get down to a good healthy weight.
What has helped me in the decision? I will tell you. I do not want to rely on my daughter the rest of my life. I do not want her to feel that she cannot live her life because she has to care for her fat mother. I want to be able to stand and wash a load of dishes. I do not want to be the hood mother of the day that used a bucket and set on the couch to do so. ( I know who does that nowadays everyone is using automatic dishwashers). I want to walk a flight of stairs and up a hill with out the feeling of "I am dying." I want the knee to stop hurting. I do not want to go from EXTREME obese to SUPER. I do not want to see MORBID obese anywhere nor do I want mobility issues later. I also do not want to be a diabetic or have cholesterol, like I do now.
So the decision has been made in my mind. Next steps is to keep doing what I am doing now. Walking nightly and swim as much as possible. Go to my seminar and start seeing the doctors at St. Luke's here in Missouri. That would be Dr. Price and Dr. Sorensen. See which will be best for me a RNY or VSG. Make my appointments. Convince my insurance, which is Medicare right now.
So onward and upward. This is my journey to TAKE BACK MY BODY AND TAKE BACK MY LIFE
1 comment
Second it was the email; "Hey you 2, I am fat and not happy.'
Third the replay: "Go to OH and read. Read my story and others look in the forums."
Forth So I did.
So from there I have asked questions and stalked people. I have read and looked at pictures. I really try to look at people that are in the 280-300lb before so I can see ME.It is funny how that much weight looks different on different people. I have made my first seminar appointment. I have invited my close friend and mom. I do not know if will take my daughter. She is 15 and kind of on the border of being a child but not. As of today, my mom is going with me. It feels good having her support.
I also want to thank all my forum posters, people who have emailed me, people who regularly blog and advise thank you.
I have learned a lot. I know that if i keloid it should only be a few little spots. I will wear them with pride and a little Vitamin E oil. If I loose my hair. It will grow back 1 and if i stay on top of my protein and add some biotin I should be OK. I am one with hanging skin if it means less pain when walking or just standing. That can be taken care of later when I get down to a good healthy weight.
What has helped me in the decision? I will tell you. I do not want to rely on my daughter the rest of my life. I do not want her to feel that she cannot live her life because she has to care for her fat mother. I want to be able to stand and wash a load of dishes. I do not want to be the hood mother of the day that used a bucket and set on the couch to do so. ( I know who does that nowadays everyone is using automatic dishwashers). I want to walk a flight of stairs and up a hill with out the feeling of "I am dying." I want the knee to stop hurting. I do not want to go from EXTREME obese to SUPER. I do not want to see MORBID obese anywhere nor do I want mobility issues later. I also do not want to be a diabetic or have cholesterol, like I do now.
So the decision has been made in my mind. Next steps is to keep doing what I am doing now. Walking nightly and swim as much as possible. Go to my seminar and start seeing the doctors at St. Luke's here in Missouri. That would be Dr. Price and Dr. Sorensen. See which will be best for me a RNY or VSG. Make my appointments. Convince my insurance, which is Medicare right now.
So onward and upward. This is my journey to TAKE BACK MY BODY AND TAKE BACK MY LIFE
About Me
MO
Location
26.4
BMI
Surgery
06/13/2011
Surgery Date
Jun 17, 2010
Member Since
Before & After
rollover to see after photo
290lbs
170lbs
