Recent Posts

Stacey Corsa
on 11/14/11 10:34 pm - Clinton, IL
Topic: RE: X post APPROVED !!!
Congratulations! We are having surgery the same day!  See you on the other side!


-Stacey

Come join my Facebook Bariatric Support Group!

Looking for a decorative, fragrant alternative to candles? Go Wickless!

   

 

 

 

    

    
Christine H.
on 11/14/11 12:06 pm - Cumberland, MD
Vanessa A.
on 11/14/11 5:01 am - FL
Topic: X post APPROVED !!!
You would never understand how much a simple phone call would make your day soooo great . Im sooooo happy to hear the words approved. My surgery date is Nov 21st in exactly 7 days ahhhhhh. Cant wait to become a better newer me ! tahnks for all the support and patience you guys had with me. Love you all

God grant me with the serenity to accept the things i cannot change ;  Courage to change the things that i can ;  and the wisdom to know the difference!!!
    

Cards44
on 11/13/11 11:54 am - IL
VSG on 07/24/12
Topic: RE: Horizon BCBS NJ
I have one more question 

With Horizon BCBS-NJ my deductible has been hit for the year.  If I am approved this year would there be any charges billed or is WLS are you still respomsible for the 20%.  After the first of the year our deductible will go up to 2500.00 Does this surgery apply to the deductible I guess is my question.
prncsstwink
on 11/12/11 7:55 am - Fort Lee, VA
Topic: RE: Tricare help!
I'm at Fort Lee, VA now.  We were out at Fort Irwin, CA.  While out there I was approved but then decided not to go ahead with surgery b/c i didn't want to be PCS'ing shortly after.  So now, i'm running into problems b/c tricare has changed the policy to also include that you have to have 6 months of documented proof that you have tried to lose weight using non surgical methods.  I have done this by far (nutritionist, weight loss clinic off post, paid for privately, weigh****chers, gym, diet plan, etc) but the woman at the referral center that approves whether  the referral gets sent to tricare to get approved to simply see the surgeon, doesn't care to look through my records to see that i have tried all this other stuff.  so she's saying i can't go.  so i have been fighting with her, through the patient advocate.  i can't wait until tues when everyone is back to work and i can hopefully get some answers.  i soooo badly want this surgery!  i'm beginning to wonder if i look and see where the nearest MTF is that does the surgery, and if i can go there.  i know Bragg is just under 3 hrs away. i'm not sure if Norfolk, or Eustis has an MTF that does RNY???
Cards44
on 11/10/11 2:10 am - IL
VSG on 07/24/12
Topic: Horizon BCBS NJ

Hi guys

I am trying this again.  I originally tried for the Gastric bypass back in 2008/2009 but was denied due to lack of 6 month diet.  My doctor upto yesterday did not want anything to do with this.

Yesterday I went to my new doctor and she recommended  the Gastric before I could even ask.  She said that she was going to refer me to the hospitlal/program where they perform these procedures to get started getting ready. She asked if I had tried this before and I told her I was denied based on diet.   She seems to think they can get this done and soon.  

My question is it has been a couple of years since I have tried for approval and Horizon was pretty tough at that time.  Has the rules changed since then.  I had a case manager for Horizon tell me a earlier in the year tell me that she thought she could help me get approved but I needed to get well with my legs first.  I tried to call her back about a month later and she is no longer with Horizon. 

Just wondering if anything has changed.

 

Thanks for your help

Bob

 

 

 

    
Vanessa A.
on 11/10/11 12:55 am - FL
Topic: RE: Nan 2008 and other aetna Vets
so it doesn't matter what day i see the nutritionist ???

God grant me with the serenity to accept the things i cannot change ;  Courage to change the things that i can ;  and the wisdom to know the difference!!!
    

Nan2008
on 11/10/11 12:32 am - Midland, MI
Topic: RE: Nan 2008 and other aetna Vets
That is 92 days from start to finish so you should be good!!  Keep me posted on what you hear about your approval!!

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
Vanessa A.
on 11/10/11 12:11 am - FL
Topic: RE: Nan 2008 and other aetna Vets
actually the other visits where sep 6, oct 4th , pre op nov 3rd .

God grant me with the serenity to accept the things i cannot change ;  Courage to change the things that i can ;  and the wisdom to know the difference!!!
    

Vanessa A.
on 11/10/11 12:08 am - FL
Topic: RE: Nan 2008 and other aetna Vets

My first visit with the physician was i believe august 3rd  i dont have all the other dates available right now, but my pre op was nov 3rd .

God grant me with the serenity to accept the things i cannot change ;  Courage to change the things that i can ;  and the wisdom to know the difference!!!
    

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