Recent Posts

Crys
on 5/21/07 2:58 am - Derby, KS
Topic: RE: ins approval..anyone have PPK?
Trish, I have PPK. Through Spirit Aero systems. I am going through Solutions For Life, Dr. Early's program. I did call before I even went to the orientation meeting and was told that they did not cover WLS. Kate( with SFL), at the meeting said they did. Called PPK back the next day and they said if I had seen my PCP for 6 consecutive months for a weight loss program they would cover the surgery. That was Aug of 2006. So I did. During that time I went through the SFL program, had all required tests and appointments done and paid all my fees. PPK will cover some of the fees, you have to have the work done through your PCP. (blood work, mammogram, sleep study, and others) At least this is my story. I know it can be different for different people. Anyway, all my I's were dotted and my T's were crossed, with the exception of the letter my PCP wrote at the end of my 6 month weight loss appointments.( Feb 2007) I had my own copy and questioned the wording of it. Was told SFL would go ahead and send it in and see what happens. I was initially denied. It went through three others at PPK before getting to the top and then Dr. Early intervened and was able to talk them into a "new" set of criteria. They gave me three months to meet this and then will re-evaluate. I am 3 pounds from the weight loss required and have been told they will approve me once this is done. That will be the first week of June. So I would tell you based on my experience, to document, document, document, and keep copies of EVERYTHING. The doctors are good about that. I never had a problem getting copies of anything. And I was glad I did. I needed them almost every time. Be sure to document names, times and dates when you talk with PPK. I found this made all the difference.
sewingloss
on 5/20/07 8:29 pm - KS
Topic: RE: Where to get surgery
Call office of Dr. Jese Lopez in Leawood, Ks. He might know someone by you. I refused to go to something like that. I love this doctor and staff. I am doing great.
sewingloss
on 5/20/07 8:26 pm - KS
Topic: RE: Kansas Attorney?
Who is your insurance company? Did you contact the nurse for Kansas area of your ins? They are the ones who determine. Took me three times of dispute and great west paid most of my surgery. I know my regular doctor, Edalati, was very supportive and instrumental in my getting the surgery. Contact the NURSE for insurance company. I had them send info.
sewingloss
on 5/20/07 8:20 pm - KS
Topic: RE: Turned down
I only talked with my psych visit, no computer. Change doctors.
prettywormen
on 5/19/07 10:56 am - port byron, NY
Topic: I HAVE BAD NEW
This boy name josh adkins 124 edgewood stanford ky 40484 is dieing of cancer and his last wish is to make the world record by geting the most cards let help him get his wish ila
eurupthere
on 5/19/07 8:57 am - Olathe, KS
Topic: RE: I HAVE A DATE!
yea, for June 18th!
splishsplash
on 5/19/07 5:11 am - Wichita, KS
Topic: RE: I HAVE A DATE!
I am having surgery in Wichita on June 18th.. Congrad and good luck!!
splishsplash
on 5/19/07 5:10 am - Wichita, KS
Topic: RE: Turned down
If it is like where I went, you have an appointment and talk about yourself at first, then you do a computer test and then you go in for the final appointment. I found the test to have pinned me to the T. It was interesting to see what I needed to work on. I know I have some issues but nothing to keep me from the surgery. She even stated that I could call back and set up an appointment if and when I felt I was ready. Most people pass the test... I have heard of a couple of people that have not. It is not really a pass or fail like Mike was saying. If you don't get approved the first time it is just due to issues that need addressed prior to any surgery. I have heard of one person who did not get approved and that was due to a mental disorder this person had and that is why she did not get approved. It has to be something really BIG for it not to go.
splishsplash
on 5/19/07 2:33 am - Wichita, KS
Topic: RE: Dort or Lancaster?
Yes, you can come up and see me. I am sure Donna won't mind either. Send me a PM and include your phone number with name and I will call you. We can talk and get to know each other. KD
eurupthere
on 5/18/07 7:35 am - Olathe, KS
Topic: I HAVE A DATE!
I got for my last pre-op stuff on the 24th. JUNE 18th is my surgery date. Yippie!!
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