Recent Posts

moonglo82
on 1/2/12 8:14 am
VSG on 03/29/12
Topic: RE: Question about taxes!
Do you have any documentation that the lapband wasn't working for you? What was your BMI at the time of the revision? Blood pressure? Blood sugar?

I would imagine that, as long as you can document that you weren't in perfect health at the time of the revision, that would be justification enough.

    
Highest weight: 277 Starting Weight: 250  Surgery Weight: 241  Current Weight: 130

Goal Reached in 10.5 months :)


 

JillieJill
on 1/2/12 8:08 am - NJ
Topic: RE: BCBSNJ....PLEASE PLEASE HELP ME...TIME IS SHORT !!!
how did you get the answers and where did you find them?   my job switched over to bcbs on january 1st and I have begun the process with another insurance company....i'm hoping I will still be able to have my surgery as planned.  Thank you so much!
moonglo82
on 1/2/12 5:23 am
VSG on 03/29/12
Topic: RE: United Healthcare trauma
I too don't know how to overcome this obstacle. I know it will be an issue for me too, because my husband went through this when he had his done, and we ended up financing his. I would love to see if anyone has a solution!
Nikia S.
on 12/31/11 5:48 am - Garland, TX
Topic: RE: employer NOT insurance co opted out to cover bariatric surgery
I have already seen the nutritionist twice and my doc said to wait until Sept to do the psych eval which is fine.I just pray that they dont change my benefits. Good Luck!!

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

            
jdgaston1
on 12/31/11 5:19 am - Memphis, TN
Topic: RE: employer NOT insurance co opted out to cover bariatric surgery
It's totally worth a try. Who knows, maybe you could open up opportunities for lots of people. It is my husband's insurance that I am speaking of as well. I think I just have to prove that it is medically necessary. You may want to go ahead and start the 6 month doctor supervised diet and or 6 months of weigh****chers if you haven't already. That way you will be totally prepared for when your insurance is ready. Good luck to you. 
Nikia S.
on 12/31/11 5:03 am - Garland, TX
Topic: RE: employer NOT insurance co opted out to cover bariatric surgery
My husbands insurance has this same thing. It is a health plan funded by the company. The benefits are great but this is just  one of those things it does not cover. I have sent a email to the CEO about two weeks ago with no response encouraging them to pick this up as a covered benefit to aid in approving attendance within the company and lowering health related cost. They do not start their new benefits until the summer so I figured it was worth a try. I will have to wait and see what happens. If they do not cover it I will have to pick up my own plan through my job which I will end up paying alot, but I figure my life is worth it.

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

            
Alaskasnowflake
on 12/29/11 3:55 am - Juneau, AK
Topic: Insurance..who are they to decide.. we pay them to work for us??

What insurance agency would allow to pay for such surgeries for a "Sleeve" I just got off the phone with blue sheild of Alaska and they won't. I have no insurance and the company i work for when they decide to give it to me, is that lousy "Cobra" who wont even allow a flu shot.. Do i mention that i want this type of medical procedure when shopping for insurance?

jdgaston1
on 12/27/11 5:43 am - Memphis, TN
Topic: employer NOT insurance co opted out to cover bariatric surgery
 Has this happened to anyone? And were you able to do anything about it? 
bluek
on 12/27/11 12:39 am - Austin, TX
Topic: Question about taxes!
I had a revision to the bypass in May after the many complications I had from the lapband (which I had in 2006).  My insurance would not pay for the revision, so I ended up paying out of pocket over $20,000. I want to deduct this from my taxes.  My accountant says that I can do this as long as the surgery is not considered "cosmetic."  Has anyone been able to do this, and how do you "prove" that it is not "cosmetic"?
Mrselise
on 12/26/11 12:28 pm - Attleboro, MA
Topic: RE: Appeal Tricare Prime C200odes 15830, 15832-50,15835
Make an appt at your MTF with your PCM and get a referral to see a surgeon at a MTF. I had my breasts done this way, as MTFs operate separate from TriCare and the approvals are at the discretion of the surgeon.
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