Recent Posts
Topic: RE: trying to qualify with kaiser
Do you know what your BMI is? I have a referance guide and unless your over 5"11 your BMI should be over 39. My Kaiser Doctor said it must be higher then 39 to qualify UNLESS you had other health issues like Diabetes, High blood presure, sleep apnea, High cholesterol, ect, Im currently in the Kaiser options program and ony have one class left. I qualified because my BMI is 49. Im 5'3 260 lbs.
Topic: Low BMI with BCBS MN (claims response)
So after I was told by my bariatric clinic that I would not qualify for surgery as my BMI was not quite 35 (was 34) and my co-morbidity of degenerative joint disease was also not diagnosed a minimum of two years ago, I called my INS. After talking with TWO different reps the nurse sd she would forward the matter to a claims rep.
Got the call back today and they said case by case basis. NOT NO or MIN two years.
Just thought I would throw that out there.
Got the call back today and they said case by case basis. NOT NO or MIN two years.
Just thought I would throw that out there.
Topic: RE: Insurance drama
They won't give me a list of providers. They said my pcp will refer me but that's a dead end
Topic: Need help with Medicare
I have medicare and they cover weight loss surgery and have no 6 month supervised weight loss diet. But the company that administers medicare for the state of Kentucky on my last medicare summary notice , was CGS and they require the 6 months supervised diet. But today i got another medicare summary notice and the administrator is National Government Services. I thought maybe this new paper was for part A or something but no. They are both for Part B services, in which i was told Bariatric is covered under. But the thing is i cant find anything about requirements on their website. Can someone please help me out!!!!
Topic: post op work
Has anyone had any luck with getting post ope surgeries done through insurance for example breast lift/reduction and abdominal. Before my surgery my surgeon mention because of the size of my breast that i would need to get them done after weight lost. They hung then and the do now and there is irritation more now. the area between my lower abdomin(panny) and private are is even more irritable..any advice. I have aetna again this is the insurance i had for my WLS since then i had carefirst but only had follow up care via them
WLS 1/19/07
preop/current/drgoal/mygoal/ideal wt
320/240
/220/180/155
Topic: RE: BCBS MN???
I have BCBC MN and was just told that because I have not had a minimum BMI of 35 for two years, and even though I have sleep apnea and degenerative joint disease and now have a bmi of 43, I do not qualify.
Topic: RE: Insurance question... out of pocket costs....
How did you get approved through United Healthcare? I have an exclusion on any kind of weight loss methods including surgery. I asked them about taking out a personal plan without that exclusion and they dont have one.
(deactivated member)
on 1/22/12 5:26 am
on 1/22/12 5:26 am
Topic: Ins covers rny and band not sure about vsg
If ins says it won't pay for vsg how do I appeal. I have a blood coloring disorder and have to take aspirin for the rest of mt life.
Please tell me of your experience with this and please everyone please pray the ins covers this for me vsg is my only choice.
Thanks in advance for your input and prayers!
Please tell me of your experience with this and please everyone please pray the ins covers this for me vsg is my only choice.
Thanks in advance for your input and prayers!
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My insurance will not pay for my excess skin that hang down to my knees
Hockeymom87 · 0 replies · 729 views
Hockeymom87 · 0 replies · 729 views
