Recent Posts

Cat_Mass73
on 6/12/14 8:49 am
with
Topic: Molina of Ohio Insurance and the Psych evaluation

I have Molina of Ohio Insurance right now and am trying to find someone that does the psych evaluations to be approved for my surgery in the Miami Valley so that I don't have to pay out of pocket..Any suggestions???

NHwahine
on 6/12/14 3:25 am
RNY on 06/30/14
Topic: Cigna Denied!

Re-Posted from the RNY forum

After reading lots and lots of posts on this site, I really can't say I'm surprised. I got the usual "Missing Paperwork" runaround.  It's so frustrating because my surgery date is the 30th of this month (my surgeon is very busy and so they scheduled me back in April) Cigna has had my paperwork, all of it, since June 2. Now they say it will take 5 more days to give me an answer. I'm supposed to start my liquid diet on Monday!! Does anyone know how long an approval is generally good for? It could be months before the surgeon is able to fit me in if we have to change the date.

   
Member Services
on 6/9/14 8:44 am - Irvine, CA
Topic: Shop at the ObesityHelp National Conference, 8/15-16/2014

Cleaning out your closet is never fun.  You can make it fun by donating clothes that no longer fit to our Clothing Swap at the OH Conference on August 15 and 16, 2014. 

Need to go shopping for clothes that fit you?  You can!!  Go to our Conference and pick up clothes from the Clothing Swap. 

Our Clothing Swaps are a favorite of Conference attendees.  Don't miss out.....come to our Conference and SHOP!

Member Services
on 6/5/14 4:41 am - Irvine, CA
Topic: GIVEAWAY - Make sure YOU enter

We're at it again!  We have another Giveaway so make sure you enter.  It is a great one - MantraBands.  Wear your mantra for inspiration and extra motivation. 

 

 

Member Services
on 6/3/14 11:51 pm - Irvine, CA
Topic: What's Your Mantra?

What's Your Mantra? 

Live In The Moment

Enjoy The Journey

Let Your Light Shine

Believe

Choose Joy

Join the new ObesityHelp GiveAway!

 

 

 

k9ophile
on 6/3/14 4:28 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????
On June 2, 2014 at 8:25 AM Pacific Time, 56sunShine14 wrote:

So, that explains it.  They didn't refuse service but I sure did enjoy the billing person at the surgeons office reaming her out on the phone in front of me.  Just because she was so *****y about it all.  Commission on WLS.......hmmmm.

I would have enjoyed that, too.  They ask everyone with private insurance for an upfront portion no matter what they are there for.  MRI exams are king of $$$ and they are included.

"Our ultimate freedom is the right and power to decide how anybody or anything outside ourselves will affect us."  Stephen Covey

Don't litter!  Spay or neuter your pet

Member Services
on 6/2/14 5:25 am - Irvine, CA
Topic: Bariatric Surgery on The Doctors

Bariatric Surgery is in the media again.  Today's episode of The Doctors television show included a portion on bariatric surgery.  It is a couple, Tina and Randy, that had RNY together.  Dr. Philip Schauer performed their surgery and was included in the episode.

Make sure to watch the episode tomorrow as they will be covering gastric bypass surgery and robotics. 

56sunShine14
on 6/2/14 1:25 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

So, that explains it.  They didn't refuse service but I sure did enjoy the billing person at the surgeons office reaming her out on the phone in front of me.  Just because she was so *****y about it all.  Commission on WLS.......hmmmm.

  All posts that I make on this site, any forum, are a result in my having experience and caring for anyone having to go through life as an obese person. If you have medical issues, please see your doctor for medical advice.

 

Karen

    
56sunShine14
on 5/30/14 12:07 pm
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

I had wondered about that same thing.

  All posts that I make on this site, any forum, are a result in my having experience and caring for anyone having to go through life as an obese person. If you have medical issues, please see your doctor for medical advice.

 

Karen

    
k9ophile
on 5/30/14 10:45 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????
On May 30, 2014 at 5:11 PM Pacific Time, 56sunShine14 wrote:

Jules, no...you were right to ask the question.  Not that I disagree with the other posts here but would like to tell you what happened the day I had my band surgery.

My insurance is a government/military insurance for survivors and they do not advise to pay upfront for anything.  They pay a percentage of "their allowable amount" and I pay the balance, IF they determine, after the fact, that I do owe it.

However, the morning I went for surgery, at check in, the lady there asked how I was going to pay the $2,000.00 that day.  I just about fell out of my chair!  She told me that if I didn't pay then the surgery would be postponed! I reminded her what insurance I had and that I was told do not pay anything upfront.  That's when she got real pissy!  I told her I was not paying a dime that morning and if she was going to postpone my surgery, she needed to call my surgeons office right then. She did and I could hear the billing woman, whom I had met, reaming her out.

Needless to say, I had my surgery.  The fact that I am now scheduled with another surgeon to have the band removed, my point to you is...always ask if you aren't sure!  And this is a great place to ask.

Perhaps she was getting a percentage  of whatever she collected up front and that's why she got pissy.  (See my reply below; it's a racket!)

"Our ultimate freedom is the right and power to decide how anybody or anything outside ourselves will affect us."  Stephen Covey

Don't litter!  Spay or neuter your pet

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