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Hi Amanda! I am wanting GS also and I too have only Medicare. I went to a seminar today and was told my upfront was $1670 Surgeon Fee, Approx $600 Hospital Fee and then approx. $1200 Surgery Co pay. I wanted to CRY! They do not offer payment plans but can try and get you financed through a credit company which I am almost positive has sky high interest! I was thinking I would be able to make a promise to pay arrangement, but nope. They said no pay no surgery :(
I live in central tx in the Killeen/Temple area but willing to travel within TX. I have medicare so I'm on a fixed income and a single mom. Has anyone with medicare only had their surgeon let them be billed for the proceedure? Hospital too? Or if you had to pay what was it? I want the GS done hopefully this summer. I turn 40 at the end of the year and I am tired of be the fat hermit who is always at home. I need this 2nd half of my life happy and most of all healthy as my girls leave the nest in the next 2 and 3 years. Thank you so much.
Amanda
I had Aetna. I followed the guidelines exactly and when my surgeon submitted I waited a week and I called them. Now take into account this was 12 years ago, sure things change, but I was told I didn't have 'supervised' exercise program.' I swam daily for those 6 months. As it turns out a lady at the pool was an RN and she wrote a letter saying she saw me daily . I faxed the letter to them. Waited a week and called. I was approved !! Do not give up if denied best of luck it's worth fighting for!
Don't feel too bad - Aetna denied my husband after he jumped through all the hoops because they said his high b/p wasn't a co-morbidity because it was "controlled" with medication. The bariatric surgeone even did a peer-to-peer review with Aetna's medical director and it still got denied.
Aetna is the biggest piece of crap out there right now in the insurance world. Their merger with Coventry has been a DISASTER for policy holders. I work for a major hospital and we are constantly battling with them over claims that get denied in error, claims they refuse to pay in error, etc.
Tracy 5'3" HW: 235 SW: 218 CW: 132 M1: -22 M2: -13 M3: -12 M4: -9 M5: -8 M6: -10 M7: -4
Goal reached in 7 months and 1 week!
Lower Body Lift w/Dr. Barnthouse 7-8-15
Hello Nan, i have aetna insurance and i was denied on 3/11/2015 for a gastric bypass revision. they denied me because i gain weight in the 6mths weight loss requirement program. i cannot exercise because i have a bulge disc in my back. i was told that i could fight against the denial but i don't know what to put in my appeal letter. please help me.
its been a few years was just wondering if you ever had the weight loss surgery.i live in columbus also with molina.
I just started the process with TrueResults.com. They have several clinics throughout DFW.
I have completed my requirements for Medicare to have the Vertical Sleeve. I wondered if anyone else on Medicare can tell me how long it took to get approved for surgery.
Anyone heard of this? Seems to be what my insurance company uses to determine if it is necessary, and they sent me a list of the requirements, but there isn't a lot of detail. For instance, says "documentation of failed weight loss management attempts". But there is no explanation of what that means.
Hockeymom87 · 0 replies · 857 views
