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Topic: RE: Good News!
JenHi Jen,
Congrats on your approval. Would you share any other details regarding who it was through and what not? I'm looking into the same thing now so thought I'd ask.
Congrats,
Mike
On March 21, 2011 at 1:58 PM Pacific Time, JenniferA1607 wrote:
I'm so excited today I got approved for financing! Now I can move forward with picking a date!Jen
Congrats on your approval. Would you share any other details regarding who it was through and what not? I'm looking into the same thing now so thought I'd ask.
Congrats,
Mike
Topic: RE: Any idea how long Aetna takes to decide?
What revision are you having? Let me know if you are approved.
Thanks
Thanks
Start-Revision RNY 02/17/2012- 402#, 2 months- down 55 #, 3 months-339
Topic: RE: Still waiting for approval for surg, but BCBSNC has paid for all testing
Awesome news...congratulations. Wishing you many blessings!
Topic: Need Help I have Medicaid Molina but nothing working
I Have Molina coverage and I need something to bring my weight down
Topic: make too much... on transitional MEDICAD NOW
It's true that we don't know what we've got until we lose it, but it's also true that we don't know what we've been missing until it arrives.
SO I JUST STARTED A JOB AFTER GRADUATING IN WHAT MY DEGREE IS IN. I RECEIVED A NOTE SAYING THAT MY MEDICAID WOULD BE CUT OFF AND I WOULD BE PUT ON TRANSITIONAL MEDICAID STARTING TOMORROW APRIL 1ST FOR A YEAR UNTIL I FIND OTHER COVERAGE!
SO THAT'S NOT THE ISSUE...I AM FINISHED WITH MY 6MONTH DIET TUESDAY. AND I WONT HAVE SURGERY UNTIL SEPTEMBER MY THINGS WILL BE SUBMITTED TO MY INSURANCE IN JULY. I PAID MY PART OF THE SURGERY. BUT NOW I'M WORRIED THAT THIS TRANSITIONAL CRAP WILL SOMEHOW SCREW ME UP TO WHERE I'M AUTOMATICALLY DENIED...
THAT WOULD SUCK CONSIDERING MY JOB DOESN'T HAVE WLS ON THEIR INSURANCE AT ALL....IVE BEEN TRYING TO CONTACT THE INSURANCE LADY AT MY SURGEONS BUT NO CALL BACK YET. AND YES GUYS I'M FREAKING OUT (ANY INSIGHT)
<3 AISHA <3
SO THAT'S NOT THE ISSUE...I AM FINISHED WITH MY 6MONTH DIET TUESDAY. AND I WONT HAVE SURGERY UNTIL SEPTEMBER MY THINGS WILL BE SUBMITTED TO MY INSURANCE IN JULY. I PAID MY PART OF THE SURGERY. BUT NOW I'M WORRIED THAT THIS TRANSITIONAL CRAP WILL SOMEHOW SCREW ME UP TO WHERE I'M AUTOMATICALLY DENIED...
THAT WOULD SUCK CONSIDERING MY JOB DOESN'T HAVE WLS ON THEIR INSURANCE AT ALL....IVE BEEN TRYING TO CONTACT THE INSURANCE LADY AT MY SURGEONS BUT NO CALL BACK YET. AND YES GUYS I'M FREAKING OUT (ANY INSIGHT)
<3 AISHA <3
It's true that we don't know what we've got until we lose it, but it's also true that we don't know what we've been missing until it arrives.
Topic: BCBS of FL for VSG (vertical sleeve gastrectomy)
Anyone have BCBS of FL and had the VSG? My question is primarily for those with a BMI of 50 or higher. I had questions if BCBS of FL would cover the VSG with the patient having a higher BMI. Any ideas or thoughts? I have already called them and they gave me the patient information but said the surgeon would get more info when he called in to "pre certify" me. Just want the heads up.
Ginger
Ginger
Topic: Will meidcare pay for a revision in California
I have medical and medicare. I need to find out if medicare will pay for a revision from lapband to something else, anything else. I really need to looses the weight. Someone please lead me in the right direction.
lapband 7/08 revised to rny 7/11
Topic: RE: Still waiting for approval for surg, but BCBSNC has paid for all testing
APPROVED! Surgery scheduled April 26th.
Carolyn
Topic: RE: Insurance denial reasons? BCBS of FL in particular.
Hi Stacy,
Wow, I am so sorry to hear about your struggles!! So then it was a total exclusion on the part of the insurance co for your particular employer?? Wow!! So where does that leave you now in hopes of having surgery? Are you able to self pay (although quite costly) or are you able to get under different insurance (perhaps yours husbands or ??)?
Actually after having this insurance for a year now, I got a bill from a provider I had gone to and it showed my small balance owing after insurance had paid a portion. In the top right corner I noticed it said BCBS of SC was billed. So we don't even have BCBS of FL!!! HA! Who knew? When I called the insurance company (from the back of my card) they had read to me all the things I needed to do in order to get approval... and I've done them and we're finally ready to submit to the insurance company (I haven't been denied or approved). My husband (whom we have insurance through) has been at this job for one year now but the insurance co. requires insurance coverage for 1 year before any major expense (including bariatrics surgery) to be paid. So I have to wait until 4/8/11 to submit all my paperwork. I have an appointment on 4/11/11 at 9am to sit down with the insurance girl at the surgen's office and go over everything to make sure we have it all together and then we'll submit that day if everything looks good. I'm assuming it will all be in order and we'll be able to submit then.
I think it's crazy how every insurance company can be so different with what they require and what they don't require but then you add in how each individual employer can pick and choose what THEY want out of those ins. companies. CRAZY!!
I really appreciate your insight and I hope you have a way to achieve your goal and your destiny. Good luck!!
Ginger
Wow, I am so sorry to hear about your struggles!! So then it was a total exclusion on the part of the insurance co for your particular employer?? Wow!! So where does that leave you now in hopes of having surgery? Are you able to self pay (although quite costly) or are you able to get under different insurance (perhaps yours husbands or ??)?
Actually after having this insurance for a year now, I got a bill from a provider I had gone to and it showed my small balance owing after insurance had paid a portion. In the top right corner I noticed it said BCBS of SC was billed. So we don't even have BCBS of FL!!! HA! Who knew? When I called the insurance company (from the back of my card) they had read to me all the things I needed to do in order to get approval... and I've done them and we're finally ready to submit to the insurance company (I haven't been denied or approved). My husband (whom we have insurance through) has been at this job for one year now but the insurance co. requires insurance coverage for 1 year before any major expense (including bariatrics surgery) to be paid. So I have to wait until 4/8/11 to submit all my paperwork. I have an appointment on 4/11/11 at 9am to sit down with the insurance girl at the surgen's office and go over everything to make sure we have it all together and then we'll submit that day if everything looks good. I'm assuming it will all be in order and we'll be able to submit then.
I think it's crazy how every insurance company can be so different with what they require and what they don't require but then you add in how each individual employer can pick and choose what THEY want out of those ins. companies. CRAZY!!
I really appreciate your insight and I hope you have a way to achieve your goal and your destiny. Good luck!!
Ginger
Topic: RE: Insurance Help! Post Self-Pay VSG
With almost every carrier, it is an automatic denial. There are options in almost every state though that can help you get coverage. Many states already have what's called a risk pool that's basically coverage for what most carriers consider "Uninsurable because of high risk for expense." There are also some really good options available now in what's called scheduled benefit plans for health coverage.
In no case, should you not report your procedure or preex conditions because they will find out sooner or later and the results of that can be devastating ranging from repayment of the monies the carrier paid to legal civil action to criminal prosecution.
If you would like, i can refer you to someone in your area who can help review your situation, or I would love to help you personally with finding the best carrier and coverage options you have available for your situation and area. My email is [email protected] and my skype is myrl lawrence.
Best Regards,
Myrlio
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