Submitted into insurance (Round 3)
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**
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.
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**
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**
-
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**
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**
