Submitted into insurance (Round 3)

smileyjamie72
on 4/1/11 2:13 am - Palmer, AK

I got the 'official' word yesterday....... We are submitted into the insurance companies (primary will deny.... so I am hoping secondary will come back with an approval)
And, even though my primary will deny (they do not cover anything weight-loss realted a.k.a.WLS)
then it will go on to the secondary insurance for a determination.  I do know that the secondary uses a contracted/independent 'medical review institute' made up of physicians to review pre-authorizations for surgery requests.



I will keep everyone posted as I know
-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

kjfras
on 4/1/11 2:16 am - North Lauderdale, FL
My fingers are crossed for you Jamie!!!! 

I know how hard you have worked for this and I just really pray you finally get a big ole YES!!!!!!!

I'll be watching for your updates.....

Kerry J                   Stillhopefull (Terry) is my Angel!!!! 
                                                    Angel to Baylady35310 (Linda)
7/9/01 RNY - 354 HW down to 192 LW
12/6/10 DS Revision - GW 170
DS HW 353
DS SW 332

DS CW 184 (-148 since surgery / -169 total) 
  
Plastics completed by Dr.Sauceda in MX 8/9/13 - LBL w anchor cut, long thigh lift, breast lift, butt augmentation and arm lift.               

              

smileyjamie72
on 4/1/11 2:22 am - Palmer, AK

Thank YOU!!!!  I am hoping that the trip down to California for an actual in person consult with Dr. Keshishian, and the repeat EGD and upper GI will all come through for me, with an APPROVAL!!!! 



-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

marie M.
on 4/1/11 2:27 am - Camas , WA
I really hope it works out for you this time!  Thinking good thoughts for you!!!

Marie
smileyjamie72
on 4/1/11 3:35 am - Palmer, AK

Thank you, Marie!!!!  Your doc assisted Dr. Fox in my RNY in 2002!!!  Small world!!!!


-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

teachmid
on 4/1/11 2:59 am - OKC, OK
Jamie,

I'm really hoping it comes through for you this time. Keep us posted.
     -Gail-
SW  257    CW  169  GW  165
  
smileyjamie72
on 4/1/11 3:36 am - Palmer, AK

Thank You, Gail!!!  I am hoping I get an approval as well.   I will keep everyone posted, just glad that I have gotten submitted!!!!


-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Chad M.
on 4/1/11 3:40 am - Indianapolis, IN
Fingers are crossed! I hope this comes through for you.
smileyjamie72
on 4/1/11 3:47 am - Palmer, AK

Thanks Chad!!!  Sure would be a welcome relief to have an approval, instead of a constant battle!!!


-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Jersey Girl
on 4/1/11 5:28 am
Jamie, I really pray this is it for you.  It's so time for your approval!
A l y s i a  (pronounced like A l i c i a)
Total weight loss since HW of 475:
  
Pounds lost since band revision to DS            
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