Recent Posts
princess2131
on 12/18/11 11:19 am - champaign, IL
on 12/18/11 11:19 am - champaign, IL
Topic: RE: please help me with insurance appeal letter
hello,thank you soooooo much
here's my email [email protected]
you can also call me I send you my cell number on your private mail
thank you
here's my email [email protected]
you can also call me I send you my cell number on your private mail
thank you
Topic: RE: Horizon BCBS NJ
In order to know exactly what you need, you need to call your insurance company and either request their bariatric policy book in paper form or direct you on their website where it can be found. The requirements will be listed but doing them to their standards will be diffcult. When you are on your diet, record everything from what your dietician tells you to eat, weight, bmi, recommended exercises, recommended lifestyle changes, changes that you have made and keep a food log. If they provide you with any documents, submit. Make sure you get a letter from your dietician and your pcp recommending the surgery due to a failed 6 month diet. Hope this helps.
Topic: RE: please help me with insurance appeal letter
Hi princess,
Shoot me your email and I'll send you mine. Everything you stated that you needed was in my appeal letter. I was denied a second time because of the nurse coordinator didnt submit all of my materials, so I took matters into my own hands and got a 1 day turnaround.
Good luck.
Shoot me your email and I'll send you mine. Everything you stated that you needed was in my appeal letter. I was denied a second time because of the nurse coordinator didnt submit all of my materials, so I took matters into my own hands and got a 1 day turnaround.
Good luck.
Topic: RE: please help me with insurance appeal letter
Hi princess2131,
We are sorry to hear this. See if this is a help to you.
http://www.obesityhelp.com/morbidobesity/information/wlsjourney/insurance+trouble.php
Take care,
Member Services
We are sorry to hear this. See if this is a help to you.
http://www.obesityhelp.com/morbidobesity/information/wlsjourney/insurance+trouble.php
Take care,
Member Services
RNY on 06/17/15
Topic: RE: Needing help finding insurance coerage
Hi,
I am curious what you found out about the insurance. I am in the same boat and went through the whole process of getting ready and having the surgery scheduled when my insurance told me that due to a clerical error I actually did not have coverage. I am not giving up and determined that this is the right decision for me. I am actively searching for employers who offer this type of coverage. Any info you learned would be most helpful =) Amber
[email protected]
I am curious what you found out about the insurance. I am in the same boat and went through the whole process of getting ready and having the surgery scheduled when my insurance told me that due to a clerical error I actually did not have coverage. I am not giving up and determined that this is the right decision for me. I am actively searching for employers who offer this type of coverage. Any info you learned would be most helpful =) Amber
[email protected]
Topic: RE: Tricare question
are you sure you aren't 5'3" :) Good luck to you....tricare is my secondary insurance....hoping that I will get approved.... I am a little heavier and shorter and DO have sleep apnea....
DS on 12/03/12
Topic: Insurance drama
So I have Anthem/Medi-cal. I have called anthem and they said they will cover any surgery as long as it is medically necessary,etc. I thought that was good news. As it turns out, while they will cover it, no surgeon will take me. i keep hearing how they aren't in my network or don't accept medi-cal. I was seeing a bariatric surgeon for a bit but then all of a sudden the hospital isn't contracted with my insurance anymore.
I can't self-pay as I am on disability. And I don't know what else to do! I've even called surgeons in other cities and again they don't take it! I am interested in the DS. I have doctors saying it's medically necessary.
Is there anything else I can do? Or am I just out of luck?
I can't self-pay as I am on disability. And I don't know what else to do! I've even called surgeons in other cities and again they don't take it! I am interested in the DS. I have doctors saying it's medically necessary.
Is there anything else I can do? Or am I just out of luck?

Topic: Tricare question
Hi ,
I was wondering if anybody got approved by Tricare for surgery with BMI of 35?
I am 5.4 and my weight is 208 with a BMI from 35.7. I have PCOS might hvae slep apnea and have Family history of heartattck and stroke. I know I am right on the edge with my BMI so I would like to know if there is anybody who was approved with Tricarde. I already got my referral to the surgeon and have my appointment this Monday. Thank you
I was wondering if anybody got approved by Tricare for surgery with BMI of 35?
I am 5.4 and my weight is 208 with a BMI from 35.7. I have PCOS might hvae slep apnea and have Family history of heartattck and stroke. I know I am right on the edge with my BMI so I would like to know if there is anybody who was approved with Tricarde. I already got my referral to the surgeon and have my appointment this Monday. Thank you