Recent Posts

mamabird69
on 12/9/12 9:26 pm
Topic: RE: Ohio Molina approved
I live in Columbus and also have Molina. Along with my obesity I have high bp, type 2 diabetes, and sleep apnea. I just don't know what surgeon to go to that will take Molina. Does anyone have any ideas here in Columbus?
missmomof4
on 12/9/12 2:07 pm
RNY on 09/10/12
Topic: RE: Keep Getting Denials for Insurance
If you are self employed, try getting insurance as a company. Most insurance companies will have a minimum number of employees. When my husband and I ran our own business, we stated we had two employees and we were able to get insurance through Kaiser. It is expensive though, but you don't have to do a health history or anything if you are a business.
        
HW 366 SW 318 CW 299
VSG on 06/12/13
Topic: RE: UHC- HELP!?

I have UHC and do not have a required non-surgical weight loss period. You might want to post this out on the main forum to see what others say. I am sure this concern is global, not just relevant to folks with UHC.

   

Sleeved 6/12/13 - 100 pounds lost to get to goal!

deedee1969
on 12/6/12 8:42 am - Milton, FL
Topic: RE: Cigna insurance

Thank you. That was very interesting to read. So maybe I have a chance to get approved.

SickofBeingThisWay
on 12/6/12 7:41 am - Dallas, TX
Topic: RE: Keep Getting Denials for Insurance

I tried with Texas State Insurance and they wanted me to get a copy of a denial letter from Blue Cross Blue Shield, but i've been waiting on BCBS to send me that letter for 3 months.

noftessa0401
on 12/6/12 7:33 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Keep Getting Denials for Insurance

Oh, I understand now - you have applied to get medical insurance, and you have been denied the actual insurance because of your weight.  I thought you were denied the surgery by an insurance company you already have.  My mistake, and I apologize.

I don't really know what to say.  I don't know how to get an insurance company to cover you.  The WLS's office likely wouldn't be able to help you out with this inquiry.  I'm sorry.  I would contact your state's department of insurance and see if they have any information they can give you.

I wish you luck.

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

SickofBeingThisWay
on 12/6/12 7:29 am - Dallas, TX
Topic: RE: Keep Getting Denials for Insurance

I don't have a policy as of yet. I'm self employed. I have tried BCBS so many times (individual policy) and they denied me. I had Humana 4 years ago. I spoke with them and they said they could probably get me approved, but highly doubt it.

noftessa0401
on 12/6/12 7:24 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Keep Getting Denials for Insurance

Do you not have insurance right now?  What about BCBS?  You could certainly try, but as I said multiple times before, it really depends on each individual's policy.  If you currently have insurance, you could go to a WL surgeon, and his/her insurance coordinator will look at your policy, contact your insurance company and determine what, if anything, you need to do to get WLS approved.  If you don't currently have insurance (then I am confused based on your opening post), or you are in a position to change companies, it certainly couldn't hurt to try to ask the coordinator which company is best, but they might not tell you since, again, each policy is, in and of itself, different.

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

SickofBeingThisWay
on 12/6/12 7:06 am - Dallas, TX
Topic: RE: Keep Getting Denials for Insurance

So you are saying that if I go to a WL surgeon, an insurance coordinator can help me determine which insurance would be better suited for me?

noftessa0401
on 12/6/12 6:53 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Cigna insurance

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

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