Recent Posts
Do you have products that you use and recommend to your friends, family and other OH members? Are you looking for a protein shake, vitamin supplementation products or protein snacks and not sure what to buy?
Check out the OH Products Directory and leave reviews of what you think of the products plus assign star ratings so other members can make better decisions on what they purchase.
If you're going to purchase any products such as protein products, desserts, cereal, vitamin patches and supplements, check the OH Products Directory first to see what other members think on all sorts of products.
If there are products that you buy that aren't on the directory and you think they should be, let us know. Please add the manufacturer/company and the name of the product as a reply to this post. It would also be helpful if you added where you purchase the item, i.e., the name of the retailer or online (with the URL).
you can't get it changed. An exclusion means your employer didn't buy the coverage that includes Wls for its employees. Unless they decide to buy the coverage,the insurance will not pay for it.
greetings.....So I was wondering how to get my policy changed to including bariatric surgery! My job provides us with insurance but it has bariatric surgery as an exclusion. I really want to have surgery but do not know where to start! Id appreciate any help you guys can provide me in getting started on the right track!
I start my post -op diet tomorrow, but i've been working on it all weekend ... I got my protein powder today... and off I go. I still have to pass the meeting with the surgeon thursday and have pre- op testing tomorrow so I still have my fingers crossed... thanks
Here they are.....the Holidays. With the challenges of Holiday foods and get-togethers, cold temperatures making it difficult for exercise, along with other stressors, it can be difficult to stay on track.
Let's support each other in this thread by sharing any tips and strategies you use to stay on track with your healthy lifestyle.
(We will make this topic into an OH blog post with some of your helpful tips so we can share with more people and help the OH Community on their journey. OH Blog posts are shared on various social media outlets.)
YaY, She called and I have been approved for a VSG Procedure. My surgery date is Dec.1st.
first doesnt matter what your other insurance company approved unless you had surgery in that timeframe forget that one, this is a new contract YOU accepted when it changed over, so you have to use the contract that is in place at time of surgery.
so you have obesity surgery covered, but VSG they are saying no let me guess experimental?, well this is an such an easy appeal to win, since the vsg is now a covered standard of care for obesity. good luck on your next surgery
how about using your 401K? how about getting a part time job that has other benefits? are you sure you dont have bariatric surgery coverage, have you personally read your subscriber agreement? unless you have seen it many time those who deny you dont even have a clue, just make sure for yourself. good luck with your revision
Some of you are familiar with my story.
2008 - Lap Band - Did not find sweet spot, gained back my weight. Had a Hiatal Hernia with acid reflux. BCBS Federal did approve this surgery. Dr. Timothy Eldridge
2009 - Removal of LB and revision to a different bariatric surgery VSG. - Did not reach my weight loss goal. Hiatal Hernia has enlarged and acid reflux worse. BCBS Federal did approve the Removal of the LB, but Denied the VSG, had pay cash. Dr Toby Broussard
2013 - Was denied for Revision to a different bariatric surgery (RNY) - Because of not being in compliance with the 2 previous surgeries. Dr. Luis Gorospe
2014 - Planning on Revision to different bariatric surgery (RNY). On my 3 month program right now. Dr. Lana Nelson
Anyone out there having a 3rd chance of surgery covered from BCBS Federal or whoever? Yes, I checked read and understood BCBS Federal medical policy and they do cover revision to different bariatric surgery.
Please share your story. Thanks everyone!
Babygirlinokc
the question is not which insurance company will cover surgery as all will if deemed medically necessary, the question is not how many surgeries you have had either will not pay, it really is that simple. I dont see anything in your post about your reasons that you had for conversions and you are asking for conversion #3 with no mechanical failure if I understand correctly? This will be a very hard sell, even for an attorney, hope you find answers real soon
Hockeymom87 · 0 replies · 726 views
