Nebraska Weight Loss Forum

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Beth T.
on 9/11/08 2:36 pm - North Platte, NE

Hi Jean, I have your phone number in my cell so will give you a call when we get close to Lincoln....looking forward to seeing you, will your daughter come too...Beth

rness
on 9/11/08 12:16 am - Champlin, MN

RNY on 06/08/09

Topic: RE: BCBS-NE

Thanks,
I am however, getting conflict information every time I call BCBS and ask a question. The latest is now Im being told that the surgery is covered however, the treatment is not. Which I really dont understand. I guess the preop stuff is, but the follow up appts are not.

My husband was like "Oh well, if its important to you, we will make it work".
Thank God, because I know its going to be very expensive.

YdnicKay
on 9/10/08 9:29 am - NE

Lap Band on 11/25/08

Topic: RE: BCBS-NE

I have two different BCBS polices. One through my husbands work, which at this time does not allow WLS. My BCBS policy allows WLS as long as it is medically needed. I filed approval request through both policies and mine okayed it in 10 days and my husbands said no as of July. But they did mention there was a chance they would begin approving WLS in September. I haven't check yet. It looks like you shouldn't have any trouble as long as you fall in the guide lines in your policy. I hope this helps. Cindy

J Brown
on 9/10/08 4:16 am - Omaha, NE

RNY on 07/26/04

Topic: RE: Lincoln Seminar

This is going to be fun !!

JeanB

rness
on 9/10/08 12:49 am - Champlin, MN

RNY on 06/08/09

Topic: BCBS-NE

I posted this on the general forum but thought I would try hear. I have BCBS-NE, but I live in MN.
This is what my policy states for WLS. Anyone else w BCBS NE. Im just curious how your approval went. Thanks!

The following surgical procedures are scientifically valid in the treatment of morbid obesity:
* Roux en Y Gastric bypass
* Gastric stapling
* Biliopancreatic diversion with duodenal switch
* Laparoscopic or open gastric banding (e.g., Lap-Band
* Loop gastric bypass

Laparoscopic methods to perform the above procedures are scientifically validated.

All other surgical procedures, including biliopancreatic diversion without duodenal switch, are investigative.

POLICY GUIDELINES:

The screening criteria listed below should be utilized before any surgery would be considered medically necessary:

MEDICAL POLICY MANUAL

1. The patient must have morbid obesity (BMI of >/= 40 kg/meter squared) or a BMI of 35- 40 kg/meter squared plus significant comorbidity.

2. The duration of obesity must have exceeded five years.

3. No identified treatable medical cause (i.e., endocrinologic).

4. Age >/= to 16 years of age.

Beth T.
on 9/9/08 2:55 pm - North Platte, NE

Lap Band on 06/25/02

Topic: RE: Lincoln Seminar

Barb, Mona and I are going the 17th we are stopping in kearney to pick up Linda, want to share exspences? gas?motel? Beth
I have a 7 passenger van

Barb_E
on 9/9/08 10:56 am - Grand Island, NE

Lap Band on 09/26/07

Topic: RE: Lincoln Seminar

I went last year and it was well worth the money. I have already signed up I called the phone number and just gave them my credit card over the phone.
Last year they had some door prizes , I won a massage.
I might go down the night before so I don't have to get up with the chickens to drive there.
Barb

Jimmy
on 9/9/08 8:27 am - North Platte, NE

Lap Band on 06/09/05

Topic: RE: Lincoln Seminar

Jean,
Hi stranger how are you doing this fine fall day. I received a brochure from Saint Elizabeth Medical Center yesterday the date is October 18, from 8:30 a.m. to 3;30 p.m. The fee is $25.00. If you more information contact Shelly at 1-402.219.7638. Well hope this will help. Stay in touch.

Until Next Time, jimmy
www.obesityhelp.com/group/Reflections

Beth T.
on 9/9/08 7:00 am - North Platte, NE

Lap Band on 06/25/02

Topic: RE: Lincoln Seminar

Hey girl friend, call St Francis in Lincoln. Its 25$, 8-3 on Sat the 18th. Mona and I are coming Friday afternoon so we can "shopa bit" and go out to dinner with anyone that wants to come. Mona has made room reservations somewhere she will more than likely reply to your post here and if she doesn't I will give you her cell number....see you then, hugs, Beth and hope things are settledling down for you!!