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Topic: RE: Totally off topic...State Disability
No...at least in California.
I was making ~$1800 while working and I'm getting $1100 on disability.So, just plan to be taking in a little less than usual. :)
I was making ~$1800 while working and I'm getting $1100 on disability.So, just plan to be taking in a little less than usual. :)
Topic: RE: Medi- Cal?
i have medi-cal but cant find a doc who accepts medi-cal.Where did you get your RNY done at?
Topic: RE: Oxford freedom plan, ny
Hey there. Best of luck to you. It may be difficult. I just went through the process with Oxford. Be prepared for a fight. They will do everything they can to deny you. They are pretty specific with what they consider a co-morbidity, and I am pretty sure they will deny you. Where is your policy written? Your appeal options will vary by state where the policy was issued as well as if you are fully-insured vs. self funded..
If your BMI is less than 40, you have to have one of the following:
If your BMI is less than 40, you have to have one of the following:
-
- Cardiovascular disease (e.g., stroke, myocardial infarction, stable or unstable angina pectoris, hypertension or coronary artery bypass)
- Life-threatening cardiopulmonary problems (e.g., severe sleep apnea, Pickwickian syndrome, obesity-related cardiomyopathy)
- Type 2 diabetes
- AND
- Patient selection criteria for bariatric surgery include (NHLBI, 1998):
- Active participation in an integrated clinical program that involves guidance on diet, physical activity and behavioral and social support prior to and after the surgery.
- Psychological evaluation to rule out major mental health disorders which would contraindicate surgery and determine patient compliance with post-operative follow-up care and dietary guidelines.
- Documentation of a motivated attempt of weight loss through a structured diet program, prior to bariatric surgery, whi*****ludes physician or other health care provider notes and/or diet or weight loss logs from a structured weight loss program for a minimum of 6 months.
Topic: Oxford freedom plan, ny
Just starting this journey. Has anyone dealt with Oxford freedom plan? I have a bmi of 36 with pcos, prediabeties, mild sleep apnea. What has your insurance process with Oxford been like?
Topic: BC/BS of Alabama
I am working on the requirements to have the sleeve done. I am really worried Blue Cross and Blue Shield of Alabama wont cover the surgery. I called and they told me they pay 100% up to the allotted amount? My yearly is $1000 for me and $2000 for the family. I'm worried the allotted amount is not enough to cover the surgery. Has anyone had BC/BS of Alabama, and it the allotted amount enough to cover the surgery?
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
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
Better safe than sorry!
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
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
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
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
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
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My insurance will not pay for my excess skin that hang down to my knees
Hockeymom87 · 0 replies · 874 views
Hockeymom87 · 0 replies · 874 views
