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I had RNY in 2003 and am in need of a revision to DS due to complications, weight gain and a "mechanical failure" of the RNY pouch - in that I have a fistula. I was wondering how we may be able to get around the one surgery per lifetime issue with UHC? If you have had any success or have ideas, please let me know.
Hi all,
I am in the final stages of the pre-op medical clearances required before my surgeons office submits the request for Aetna coverage. For those with Aetna, how long did it take them to review your case and respond!
Any hints or suggestions to bolster the strength of the request? My surgeons office will do the submitting but I just want to ensure I am doing everything I can from my end to make it a strong submission.
Thanks!
christine
________
137 pounds lost - from a 24/26W to a size 8/10!
Did any have a problem getting std to pay you and keep your job while out of work
And the winner is....
Not sure you are going? Check out the video from last years conference and you will see what you missed. BOOK NOW
We hope to see you all there
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
has anyone had WLS excluded from their primary but covered by a secondary? this is my current situation. my surgery coordinator mentioned this may be an issue as the primary may not let the secondary cover the surgery but i don't understand how it can be an issue if it's completely excluded. if it's not covered at all why wouldn't the secondary be able to pay?
if your primary won't cover at all,the secondary might refuse to pay because the primary is not paying any.
Best advice...call the number on. Your secondary card and ask them. That is the only way you will know for sure.
has anyone had WLS excluded from their primary but covered by a secondary? this is my current situation. my surgery coordinator mentioned this may be an issue as the primary may not let the secondary cover the surgery but i don't understand how it can be an issue if it's completely excluded. if it's not covered at all why wouldn't the secondary be able to pay?
I was denied because after my lap band surgery I lost am amount below thier standards. What I dont understand is why thet care. They didnt pay for my first surgery.
~ CJ Bradley - Lapband Surgery 7/2007 with many complications. 2012 Seeking Revision to RNY. 2013 Revision denied. Trying to work with band.
I Cant get approval for a revision thru tricare. I am at a dead end. I've gained all my weight back plus some.
ObesityHelp is for the support and education for anyone affected by obesity. If you, or anyone you know, is affected by obesity, check out the Non-Surgical Weight Loss board. Whether you're following an organized weight loss group, diet plan or losing weight on your own without weight loss surgery, we can support you too.
Cathy
Want to get back on track or stay on track? Get Back On Track Together!
Welcome....I have NOT bought a plan...I have BCBS thru my employer but they wouldn't pay...I had heard yrs ago a lady had some complications with her surgery so my employer won't cover it...sucks...so I was a self pay..a lot of money but it will be worth it!!
good luck to you :)
RNY 1/19/15 SW 238 CW 169 GW ??
Hockeymom87 · 0 replies · 857 views
