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devaoner
on 2/19/12 9:36 pm
Topic: Anyone from CT have husky d cover ps
 Anyone have husky d insurance to cover ps I need arms thighs breast abdominal all done! Can't find a dr that does thigh lift in CT if u can help thank u
Nan2008
on 2/16/12 10:52 pm - Midland, MI
Topic: RE: 6 month Diet question
I think you definitely should do the 7th visit.  Most insurances (at least I know mine was) a full 6 months, in fact, it had to be over a period of at least 180 days.  Any less and they would have denied!

Better safe than sorry!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
Nikia S.
on 2/16/12 10:45 am - Garland, TX
Topic: RE: 6 month Diet question
I am doing 7 regardless so there is no reason to deny me :)

Nikia S. ~~My not yet is way better than my right now~~
HW-339 Preop-331 SW-313

            
Nikia S.
on 2/16/12 10:44 am - Garland, TX
Topic: RE: 6 month Diet question
You really need to get the clarification from your insurance directly. Some insurances actually have you complete a 7th visit to make the full six months. Good Luck!

Nikia S. ~~My not yet is way better than my right now~~
HW-339 Preop-331 SW-313

            
Cards44
on 2/16/12 4:57 am - IL
VSG on 07/24/12
Topic: RE: Insurance Pre Approval question
Awesome...

I think I will be in the same boat.  As I have been thinking about the timing of this diet.  

I was told during my first visit and weigh in on 12/14/11 that I was on target for a surgery date towards the end of May or the first of June.   If you calculate 180 days (or 6 full months) it would equate to 6/12/12/  So I am wondering if I have 6 visits or weigh ins or is it 6 full months.

The Surgeon yesterday told me that I am half way through the diet with my 3rd weigh in.  But when you look at it I am just now starting the third month.

Good Luck
Cards44
on 2/16/12 4:52 am - IL
VSG on 07/24/12
Topic: 6 month Diet question

I have a question about the 6 month diet. 

I am going through the surgeon for my diet.  I started this process on 12/14/11 and they told me that at that time I would finish my diet in May and would be looking at a surgery date towards the end of May or first of June.   I just did my 3rd visit yesterday and the surgeon stated I was half way done.  So my quesion is it 6 weigh in's which would make sense with what I am being told or is it 6 full months of diet.  If it is 6 full months I would not be finished until Mid June.

I have Horizon BCBS of NJ.   I was going to ask yesterday but did not remember. 

Any help with this confusion would be awesome. 

Thank you

Bob

fit2lose
on 2/16/12 3:17 am - MN
VSG on 05/07/12
Topic: RE: Insurance Pre Approval question
I know that this does not help your question too much considering that every insurance provider is different, but I want to greatly thank you for your question.  It caused me to look at my own requirements and I realized that while I thought I had 1 more visit left with my primary I am actually DONE with my 6 months.  This allowed to me to reschedule my remaining required appts from the 7th to next Tuesday!!!!  You just gave me 3 weeks

That all said, when I called my insurance to confirm everything they did say that everything needed to be complete before it is all faxed to them for approval (BCBS of MN). 
jjordan3
on 2/14/12 12:06 pm - greenfield, IN
RNY on 03/25/13
Topic: tricare after honorable discharge
 I was going through the process of getting my stuff together to submit for a approval, but my husband was honorably discharged from the military.  Now we're standard I think?  Has anyone done this before after leaving the military?

 

 

Surgery Date: March 25, 2013

    

hkhart
on 2/13/12 8:27 am - Newburgh, IN
Topic: RE: Aetna $15,000 lifetime max
 I have Aetna but no maximum.  I have to do the 6 month preop diet - I go next week for my 6 month weigh in.  

The only advice I would offer is to really research the Lap Band and be aware that if you DO have problems with it, you will not be able to revert to another surgery such as RNY, with your same plan. On the other hand, if you can find out how much out of pocket it will cost you, it may be worth it in the long run.
lteyelizzy
on 2/12/12 2:25 am
Topic: Did you have to appeal to have the VSG?
Well, I finally got my denial letter in the mail, and now I have to send a letter for the appeal.  Has anyone had a decision turn around with the appeal?  I am just not very good with writing things out, and I didn't know if anyone had any advice on what you would put in it.  My insurance is Humana, and they do cover it, but you have to have a BMI of over 50, which I do not.

Thanks in advance!

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