Recent Posts
R. c
on 11/3/10 1:15 pm - nashville, TN
on 11/3/10 1:15 pm - nashville, TN
Topic: RE: DENIED BY AETNA ON APPEAL
Hi, Jenn. I know this process can be super frustrating. Which route did you choose to do, the 6 mth physician or the 3 mth multidiciplinary? I have a detailed list of what i did for the 3 mth program as well as letters that I drafted and had my PCP sign. Several people on here have found success using them and I would be glad to share them with you if you send me your email addy. :)
~* Rosie *~ 2-16-10
JillinWarren
on 11/3/10 1:11 pm - Warren, NJ
on 11/3/10 1:11 pm - Warren, NJ
Topic: Insurance Denied by Dr Bertha with 2 weeks to surgery date
With 2 weeks until my surgery date by Dr. Bertha, and with nutritionist, psychologist, gynocologist, etc. prereqs completed, and insurance company approval for the procedure, Dr.Bertha suddenly refused to accept my United Healthcare insurance on 11/1, and told me that face to face today.
I cannot believe that his staff had no way to set my expectations to be ready for the sudden rejection. Feels like malpractice to me to lead me on and then change your mind. My life felt as if it was falling apart. He told me his hands were tied by NJ insurance law so that he couldn't warn me that he might drop that insurance. I find that impossible to believe--on Monday members of his staff were calling me for my blood work at noon, and at 4:30 told me he wouldn't take my insurance any more.
WARNING!!!!! JUST BECAUSE YOU HAVE A DATE AND YOUR PRE-REQS DONE AS HE ORDERED, IT DOESN'T MEAN THE SURGEON CAN'T PULL THE PLUG ON YOU.
Jill
I cannot believe that his staff had no way to set my expectations to be ready for the sudden rejection. Feels like malpractice to me to lead me on and then change your mind. My life felt as if it was falling apart. He told me his hands were tied by NJ insurance law so that he couldn't warn me that he might drop that insurance. I find that impossible to believe--on Monday members of his staff were calling me for my blood work at noon, and at 4:30 told me he wouldn't take my insurance any more.
WARNING!!!!! JUST BECAUSE YOU HAVE A DATE AND YOUR PRE-REQS DONE AS HE ORDERED, IT DOESN'T MEAN THE SURGEON CAN'T PULL THE PLUG ON YOU.
Jill
Topic: RE: Denied by Cigna
Oh wow congrats! So you didn't have to file a letter of appeal or complete the 6 month you were anticpating on finishing in Jan?
Topic: RE: Florida Medicaid process - help please?
Any idea on what I'm to expect now that I have put my application in?
Topic: RE: Denied by Cigna
I was finally approved on resubmital of the package. Nothing changed except for the signature on the weight management program letter (doctor signed in stead of nurse)
Topic: RE: Does anyone have nj family care
what type of hmo do u have i used to live in pennsauken nj and i know its kind of a distance fromtrenton but wls is worth traveling his name is Dr. Yves Manigat great guy www.echelonbariatric.com
Topic: RE: Florida Medicaid process - help please?
im still trying to figure that out u can finace it the monthly payment with be over $300 monthly its worth it but i think ill just save up i dont want to pay in installments
Topic: RE: Florida Medicaid process - help please?
Oh, okay. Well I'm not sure how this will go. I get stipend checks from school for $3,000 but it's gone in like a month paying bills and groceries. I don't know how they will really see my application if it would be a go or not. I am willing to bet not but I can't give up hope.
If they deny me what should I do? Keep applying? How can one self pay, isn't it expensive like thousands?
If they deny me what should I do? Keep applying? How can one self pay, isn't it expensive like thousands?
Topic: RE: Florida Medicaid process - help please?
no for no reason i just applied to apply for health insurance cause i had none. it doesnt hurt to reapply and i wasnt asked about any medical problems they approved me but regarding surgery like i said they approved me with an hmo and it is really hard to find surgeons how except any of the hmos has to be straight medcaid...... i think im going to end up being self pay which is very expensive. i dont even know where or how to start im going to try to do some kind of fund raising?
Topic: RE: Florida Medicaid process - help please?
Okay, I am going through the online application process. I did this before but not for MEdicaid and they denied me because of my mother whom I live with but she doesn't make that much money either.
Anyway, I hope this goes well. I'm not sure what to do with this. Will I have to go talk to them about my problems? So far in the application they haven't asked anything about my medical problem/s.
Did you and anyone else that may reply apply for this specifically for weight loss surgery/related? Or did you already have for something else?
Anyway, I hope this goes well. I'm not sure what to do with this. Will I have to go talk to them about my problems? So far in the application they haven't asked anything about my medical problem/s.
Did you and anyone else that may reply apply for this specifically for weight loss surgery/related? Or did you already have for something else?
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