Recent Posts

Angie H.
on 8/16/11 11:00 am - TN
Topic: approved - approved - approved!!!!!

Doing the happy insurance dance.....wooo hooooo........

  
    
Angie H.
on 8/15/11 5:26 am - TN
Topic: RE: Insurance Approval
I don't know... I have Aetna... I think they all get together and try to torture us!!! The wait is horrible...
  
    
Angie H.
on 8/15/11 5:15 am - TN
Topic: Aetna Driving Me CRAZY!!!!

I am so frusterated. I hate insurance companies. I hate insurance companies! And if ONE MORE person tells me to "just be patient" I am gonna scream! There is no way to "just be patient." Not when you are a passionate person giving something that you believe in everything you have. It REQUIRES you to be persistant, inquiring (nicely) on a very frequent basis.

Well, it would be different if I didn't keep getting the run-around from the insurance company saying that they don't have my stuff and that the proper procedure hasn't been followed! I KNOW that it has, and I know that they have it. Why don't they just say that it is in review? Wouldn't that be easier on all of us?!?!!? I guess after what happened before with the "other" doctor's office I have become a little gun shy. (With good reason!!)

I just hate that this is costing me more time. Changing doctor's/clinics was the best thing I have done since I decided to have this done, but it has cost me another month. Another month of aching knees and hips... Another month of all the other "junk" that comes from all this excess baggage. I am just so ready to move forward and begin. I want to start healing, getting better. Certainly no one can blame me for that....

  
    
tiz4tggr
on 8/15/11 4:28 am - TX
Topic: RE: Cigna 6 Month Weight Loss Documentation
Me and my PCP starting our monthly meetings back in May...but we didn't have any real way of documenting it other than writing notes in my file. We're going to use this form to document our monthly meetings.
carrierae
on 8/15/11 4:20 am - WA
Topic: RE: Cigna 6 Month Weight Loss Documentation
Awesome...but what is the 27 weeks? I have cigna and you are freaking me out!
RockyMtnCamper
on 8/13/11 9:00 am, edited 9/3/11 10:58 pm
Topic: Bank of America Aetna Total Comprehensive for Revision
Has anyone had first hand experience with Bank of America Aetna Total Comprehensive for their revision work? Looking to revise from lap band to DS and would appreciate any advise or tips.

Thanks
sourcherriex
on 8/13/11 3:10 am - CA
Topic: RE: HealthNet HMO California - consultation?!
HMO timeframes are completely ridiculouis. And you've been dealing with the denial for almost a year now! I'm so sorry. I saw your post on the VSG forum as well. You definitely deserve some good news soon. I wonder if I'd be better off trying for the DS in 2 parts. I don't even know if they will approve a 2-part surgery. We will see what happens. I have called (annoyingly) every day this week trying to get them to go faster. They said if it's not done on monday I'm free to raise hell, so we will see. I didn't switch to this stupid HMO to not fight my ass off. :P
doggz109
on 8/12/11 8:05 pm - CA
VSG on 01/12/12
Topic: RE: HealthNet HMO California - consultation?!
I have a 51 BMI and yes I was denied for the sleeve.  They said I qualified for the RNY or LapBand but not for the sleeve.  The letter basically said.....you have no reason why you need a sleeve over the others.

I had to appeal and am currently waiting on that appeal.

As far as the initial consultation.....had no problem getting that.  My bariatric surgeon (Dr. Wetter) and my PCP are in the same medical group and actually 2 doors down from each other in the same building.  That wasn't bad....just took about 3-4 weeks to get the referral.  The surgeon would not allow me to make an appt though until they got the referral completed...and then obviously I had to wait about 2-3 weeks after that to finally be seen.

It can take a while. 
sourcherriex
on 8/12/11 6:37 pm - CA
Topic: RE: HealthNet HMO California - consultation?!
 I'm going for the sleeve also. I know they only will cover it if you can prove you can't have the bypass. I was kind of hoping they wouldn't give me any crap because my BMI is so high. When I spoke to them on the phone I was told it shouldn't be a problem. Have you been officially denied? I am worried they will deny me and I will have to appeal. I know they cover the DS so I don't understand why getting the sleeve is so much more difficult. I guess I could always try and get approved for the DS in 2 parts and just never get the second part, lol.

Thanks for your reply. :)
doggz109
on 8/12/11 6:28 pm - CA
VSG on 01/12/12
Topic: RE: HealthNet HMO California - consultation?!
I started the process with Health Net in December 2010 and I am still waiting to get surgery approved.  This is for a gastric sleeve.

Most Active
×