Recent Posts

ashtons07
on 9/14/10 4:18 am
Topic: BCBS Georgia
 A little over 4 months ago, I went through the process of getting the lap-band surgery. I went to the meeting, got all the information and set up an appointment with the surgeon. The DAY OF my meeting with my surgeon, I get a phone call saying that my insurance does not cover Bariatrics. I have Blue Cross Blue Shield of Georgia. After the phone call, I called BCBS to ask them what the heck was going on. We have a HIGH premium, so I figured since we pay so much (my parents that is) that it would cover it. BCBS repeatidly told me that bariatrics is excluded from our plan and that there was nothing we could do about it.

I need some advice. I have put this off for long enough and I am ready to do something about it. If this means switching insurance companies then so be it. 

Someone please tell me what to do!
LOUSANNA
on 9/13/10 1:16 pm - CT
Topic: RE: help plz :(
 that what i think to i call my surgeon  and the nurses said  it OK  so i do not know what to do
Nan2008
on 9/13/10 6:26 am - Midland, MI
Topic: RE: Letter of Medical Necessity - samples needed!
Rachel - I am so happy for you!!!  Congratulations on getting your approval!!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
Nan2008
on 9/13/10 6:11 am - Midland, MI
Topic: RE: Letter of Medical Necessity - samples needed!
You are so very welcome!!  I am happy you got your approval! 

Good luck to you!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
yasulh
on 9/12/10 6:53 am - Augusta, GA
Topic: RE: WLS prevents you from getting health insurance ???
The other option is to get into one of the high-risk pools being set up as part of the health care reform. They are specifically for people who cannot get private insurance due to pre-existing conditions.

RNY 11/15/2010

HW 280ish

SW (after 6 month diet) 247

Lowest post-surgery 183

Current 241

Considering revision to DS - have appointment 8/15/2017

yasulh
on 9/12/10 6:50 am - Augusta, GA
Topic: RE: Need help and/or advice
The first thing I would do would be to see if there is a competent in-network doctor that you can use and then have your records transferred. That would be the best option so that you are not stuck with all of the additional charges. Otherwise, I would contact your surgeon's office and ask a couple of questions - if they have any plan on becoming a network provider for this insurance and if they can recommend financing options.

Good luck!

Tonia

RNY 11/15/2010

HW 280ish

SW (after 6 month diet) 247

Lowest post-surgery 183

Current 241

Considering revision to DS - have appointment 8/15/2017

Nan2008
on 9/12/10 12:07 am - Midland, MI
Topic: RE: Third Times a Charm? Maybe?

Good Luck Maria!  I remember sending you letters of example to use in your appeal so I hope you get approved this time!!!  Keep us postedl

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
Nan2008
on 9/12/10 12:02 am - Midland, MI
Topic: RE: help plz :(
It doesn't sound normal to me.  I have Aetna insurnace and needed pre-authorization and insurnace approval before my surgery could be scheduled.

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
Nan2008
on 9/11/10 11:59 pm - Midland, MI
Topic: RE: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!

You are so very welcome!!!!  I am happy things turned out so well and you got your approval!  I hae been so happy with my choice of RNY and my daughter had her RNY in May and is down 75 lbs !!  We also appealed her denial and now look where she is!

Congrats!!  And keep me posted on your surgery!  I love hearing stories like yours and glad I was able to help!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
rosieb
on 9/11/10 1:04 pm
Topic: RE: Third Times a Charm? Maybe?

Good luck Maria...............hope everything goes well!

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