Recent Posts
Topic: RE: New Requirements for BCBS ?
I have BCBS of Minnesota, they have a 6 month supervised diet requirement. BUT... I was just told that BCBS of illinois just dropped the 6 month requirement.
Topic: RE: Medical Mutual ???'s
I can not help you with the insurance but I wanted to tell you Congrats and I hope you get a date real soon!!
HW:338 SW:316 CW:203 GW:190 MY HT IS 5"11"
Topic: Medical Mutual ???'s
Today I got the green light from my doctor that I was cleared for surgery and that my letter has been submitted to Medical Mutual my insurance provider. Does anyone have Medical Mutual and do you know how long they usually take to make a decision?
" Put God first in all you do! "
Topic: RE: Insurance Pre Approval question
HI,
That seems strange to me. Normally they want to see the completed 6 month supervised physician supervised diet. Who is your insurance with? I have Aetna. My info was turned in before my supervised diet was done and I was denied. I had to appeal AFTER I finished the program! I would double check with your insuance company because I have a feeling you need to complete the 6 months before submitting for approval.
Nan
That seems strange to me. Normally they want to see the completed 6 month supervised physician supervised diet. Who is your insurance with? I have Aetna. My info was turned in before my supervised diet was done and I was denied. I had to appeal AFTER I finished the program! I would double check with your insuance company because I have a feeling you need to complete the 6 months before submitting for approval.
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
(deactivated member)
on 2/7/12 9:14 am
on 2/7/12 9:14 am
Topic: RE: Insurance Pre Approval question
I don't have an answer for you but I want to wish you luck. I've looked online to try to find you an answer. It seems this portion of the forum has TONS of questions and only a few answers. I think everyone is uncertain about some things!
(deactivated member)
on 2/6/12 6:23 am
on 2/6/12 6:23 am
Topic: new here and have a question
Today I found out my insurance covers bariatric services when I originally thought they didn't so that was happy news! My doctor told me I needed to call and find out co-pays and that type of stuff to find out what my financial responsibility would be. I called (I have United Healthcare) and they told me there is a $20,000 lifetime max for this surgery. I know I've read a question about this on here before (I've been lurking for awhile), but was if anyone here has dealt with that and wondered about how much you had to pay out of pocket if. I know all surgery costs are different, but I'm just curious since my doctor's office is closed for the day.
Topic: Insurance Pre Approval question
Hi Guys
I am getting ready for my third weigh in for my 6 month supervised diet. This visit will be the end of the 2nd month and start of the 3rd month.
I have already had my pysch exam also.
My advocate with the program that I am going through told me that after the 3rd visit (scheduled 2/15) that the information would be sent into the insurance for pre-approval in which the insurance would approve or disapprove at that point. If they approve all we would have to do is send in the info that I finished the diet and everything would be approved at that point.
Has anyone heard anything about this.
I am getting ready for my third weigh in for my 6 month supervised diet. This visit will be the end of the 2nd month and start of the 3rd month.
I have already had my pysch exam also.
My advocate with the program that I am going through told me that after the 3rd visit (scheduled 2/15) that the information would be sent into the insurance for pre-approval in which the insurance would approve or disapprove at that point. If they approve all we would have to do is send in the info that I finished the diet and everything would be approved at that point.
Has anyone heard anything about this.
Topic: RE: Tricare Prime (North)
Sorry.. It wouldn't let me keep typing. I chose my surgeon, he accepted tricare. It was done a a very well known hospital here in southern california .
Things I wish I had known...
1. Start taking vitamins NOW. It needs to become a daily habit.
2. Find a protein drink that you really enjoy now. Even though your tastes may change ( mine did not) that is the thing I struggle with the most.
3. Start making protein the most important part of your daily intake. TODAY.. I know it sounds " preachy" but in your future it will become the most important thing in your life.
4. Start drinking water.. Or crystal light or any other sugar free food/ beverage. This was a major issue for me, as I never drank sweetened beverages. I am not a sugar lover so the ohhhh so sweet favors drive me crazy lol.
5. NSAIDS are the devil.. You will never be able to have MOTRIN, ADVIL, IBUPROPHIN again. If those medications are a part of your life ask your doc if there are alternatives that you can use.
And lastly. If you are not happy with your life... This surgery isn't going to make you happy. It will help you lose weight, but you have to do the rest of the work :) I wish you all of the best luck possible. PM me if you want to ask anything.. There are so many questions to ask, don't hesitate. Ohhhh and bariatric foodie ( google her) and the world according to eggface.. Great sites! Good luck!!!!!
Things I wish I had known...
1. Start taking vitamins NOW. It needs to become a daily habit.
2. Find a protein drink that you really enjoy now. Even though your tastes may change ( mine did not) that is the thing I struggle with the most.
3. Start making protein the most important part of your daily intake. TODAY.. I know it sounds " preachy" but in your future it will become the most important thing in your life.
4. Start drinking water.. Or crystal light or any other sugar free food/ beverage. This was a major issue for me, as I never drank sweetened beverages. I am not a sugar lover so the ohhhh so sweet favors drive me crazy lol.
5. NSAIDS are the devil.. You will never be able to have MOTRIN, ADVIL, IBUPROPHIN again. If those medications are a part of your life ask your doc if there are alternatives that you can use.
And lastly. If you are not happy with your life... This surgery isn't going to make you happy. It will help you lose weight, but you have to do the rest of the work :) I wish you all of the best luck possible. PM me if you want to ask anything.. There are so many questions to ask, don't hesitate. Ohhhh and bariatric foodie ( google her) and the world according to eggface.. Great sites! Good luck!!!!!
HW 274. CW 129
Topic: RE: Tricare Prime (North)
Hi Courtney,
I am Tricare ( west) . I had RNY in October.
I was approved to see my surgeon within a week of my request.
I was not required to be on a pre surgery diet but that is sometimes determined by your surgeon.
I was required to see a nutritionist and a psychologist. I was required to be cleared by a cardiologist ( pre-existing condition)
I went to my first seminar at at the end of February 2010 my initial surgery date was in May.. Then July haha then October (other health issues kept pushing me back lol)
My initial stay for the RNY was three days. I developed an infection in the infamous left side port entry ( read the boards and you will find that this particular place is a real bear) and was readmitted for another three days.
With the exception of the infected wound site it took me about ten days to feel "pretty good"
I had a couple of issues that developed after my surgery... They were not what I expected. By thanksgiving I had 4 ulcers ... So my beginning was not fun.
I can tell you that I have no regrets. I feel great now. And I would do it again!
I am Tricare ( west) . I had RNY in October.
I was approved to see my surgeon within a week of my request.
I was not required to be on a pre surgery diet but that is sometimes determined by your surgeon.
I was required to see a nutritionist and a psychologist. I was required to be cleared by a cardiologist ( pre-existing condition)
I went to my first seminar at at the end of February 2010 my initial surgery date was in May.. Then July haha then October (other health issues kept pushing me back lol)
My initial stay for the RNY was three days. I developed an infection in the infamous left side port entry ( read the boards and you will find that this particular place is a real bear) and was readmitted for another three days.
With the exception of the infected wound site it took me about ten days to feel "pretty good"
I had a couple of issues that developed after my surgery... They were not what I expected. By thanksgiving I had 4 ulcers ... So my beginning was not fun.
I can tell you that I have no regrets. I feel great now. And I would do it again!
HW 274. CW 129
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