Recent Posts
Topic: RE: FINALLY!!! APPROVED!!!! THANK YOU!
I am so excited for you!!! Congratulations and keep us posted when you get your date!! 
Topic: Summacare
Hello-
I have Aetna at my current employer and have a job interview Friday for a company that uses Summacare insurance. I am going through the process of getting RNY and should be getting surgery in Feb after I finish my 3 month required diet.
Aetna requires a 2 year weight history....does anyone one know how long of a weight history Summa needs?
Thanks!!!
I have Aetna at my current employer and have a job interview Friday for a company that uses Summacare insurance. I am going through the process of getting RNY and should be getting surgery in Feb after I finish my 3 month required diet.
Aetna requires a 2 year weight history....does anyone one know how long of a weight history Summa needs?
Thanks!!!
Topic: Bugging Insurance Company too much?
I found out (by calling them) that Anthem has my "stuff" to review for pre-cert. They received it Monday. I've read here of them making a decision in as little as 2 hours, but of course I was told by them within 5 days.
Is it wrong to call them again and check? I resisted a whole day yesterday but now I want to call again today and check! But I also don't want to **** them off....:)
Any thoughts? Thanks! :)
Is it wrong to call them again and check? I resisted a whole day yesterday but now I want to call again today and check! But I also don't want to **** them off....:)
Any thoughts? Thanks! :)
Pamelalalala
Switched on Feb 9, 2011!
Switched on Feb 9, 2011!
Topic: 6mo diet record for CIGNA..can someone post a sample please?
Hi, I am trying to get some records together. Can someone (no need to put in weights or anything) post a sample of what a successful record of weight management prgram looks like. Much appreciated!
Peace and Love 
Lisey is my Angel
Lisey is my Angel
Topic: XP: Has anyone used ObesityLaw for an appeal?
I'm looking for anyone who used OL for an appeal (or anyone who has an opinion of OL)- what was the process like? Did your denial get reversed? Would you suggest them to others?
Thanks!!
Thanks!!
My journey: http://abowlfullofjelly.blogspot.com/ w/ March 2011 Sleevers List
"Sleeve Santa Sleeve!"
HW: 309 ~ PreOpW: 306 ~ SW: 293 ~ CW: 184
"Sleeve Santa Sleeve!"
HW: 309 ~ PreOpW: 306 ~ SW: 293 ~ CW: 184
Topic: RE: Denied by Humana
Hi Vicki and thanks for the response. I have contacted the surgeon's office and it seems that there was a problem with one of the forms. It has been resubmitted and I am just waiting to hear back from them. Now, all I can do is hope that Humana will be happy with the resubmittal
Topic: RE: Humana-KY state employee
You just need to make sure that you meet all the requirements to be eligible and approved if you do that its not a problem. Your surgeons office should have all the medical policy guidelines from Humana. Humana has a special united dedicated to Bariatric Surgery approvals.
Topic: RE: Humana-KY state employee
* I lost 7 lbs. on the pre-op diet.*
Is it hard to get approved for the LapBand? I was reading a post where a woman was denied the first time, and she said that was normal to be denied by Humana. I guess I am just worried because BC BS of PA denied twice (the old insurance I had).
* I lost 7 lbs. on the pre-op diet.*
Topic: RE: Denied by Humana
Contact the Surgeons's office and check to see what they sent to Humana, also you might call Humana and ask them what they have recieved. I would start with those 2 things first
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My insurance will not pay for my excess skin that hang down to my knees
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