Recent Posts
Topic: RE: Self Pay
Post your question on the lap band forum. You'll get a lot of answers there. Good luck!
Topic: RE: Will meidcare pay for a revision in California
I ran into a lady at a new patient seminar who has both medi-cal and medicare and who is trying to have her lapband removed and the bypass done.. She is currently going through the process of getting her insurance approved, so there is hope, but who knows when it comes to the insurance companies. She was pretty sure it would be approved though.
Topic: Cal optima and Talbert Medical Group
I asked my pcp at Talbert Medical Group for a referal to a bariatric surgeon and got one the same day. I was referred to Dr Peter Leport at Orange Coast Memorial. I attended the first appt, saw a physicians assistant and met with an insurance person. I did all the classes they asked me to do and today they sent in for my approval..The office said I met Talbert's criteria and its up to the medical director of Talbert to make a decision though and it will take 2-3 weeks to find out if I'm approved. Anyone have any experiences with them and what are my chances of being approved? I have cal optima (medi-cal) and I"m assigned to Talbert Medical Group in Fountain Valley.
Topic: Anthem BCBS of CA... 6 month supervised dietary program question
I’m live in Maryland but my insurance is Anthem BC BS of CA. I was wondering if anyone with the same insurance had to do a 6 month supervised program? I ask because when I decided to have WLS I asked my insurance company for a copy of the medical policy (SURG.00024), and it only states; The individual must have actively participated in non-surgical methods of weight reduction; these efforts must be fully appraised by the physicians requesting authorization for surgery. When I called the insurance company and asked how long the participation should be documented for, I was told there wasn’t a specific number but during my visit with my surgeon. I was told that BC BS requires 6 months. Does this sound right, who do I believe, how do I get the correct answer? I also posted this in insurance, Cash Pay and financing forum.
Topic: Self Pay
Hey all.
Congrats on who lost weight. I'm looking into getting the lap band surgrey but i have no insurance and will have to pay out of pocket. I'm just wondering from the people who had it done about how much did it cost? I want to see if i can even do it. I'm from upstate NY and would like to get an idea. Thanks
Congrats on who lost weight. I'm looking into getting the lap band surgrey but i have no insurance and will have to pay out of pocket. I'm just wondering from the people who had it done about how much did it cost? I want to see if i can even do it. I'm from upstate NY and would like to get an idea. Thanks
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.
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My insurance will not pay for my excess skin that hang down to my knees
Hockeymom87 · 0 replies · 893 views
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