Insurance, Cash Pay and Financing

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Kimmie40351
on 9/20/13 10:08 am

Topic: RE: Buying insurance just for surgery?

Please share details on this

noftessa0401
on 9/20/13 4:52 am - San Diego, CA

RNY on 12/27/12

Topic: RE: BMI requirements for Aetna

I don't have an answer for you, as I had a BMI over 40 for the required time period. But, I wanted to wish you luck!

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

Special_KLJ2
on 9/20/13 4:17 am - Olathe, KS

Revision on 03/12/14

Topic: RE: Buying insurance just for surgery?

I live in KS and had Medicare and Medicaid, however, my surgeon was in Omaha and did not accept my KS Medicaid. I bought a BCBS of KS policy for only one month (the month I was scheduled for surgery) and they paid the difference that Medicare did not.

Karen L. Johnson

blessedmom28
on 9/20/13 1:54 am

Topic: BMI requirements for Aetna

Since I was a teenager I have had a BMI between 35 and 39 with a few good weight loss runs that put me below and a few pregnancies that put me over. I have no co-morbities but my Mom died at 49 and my Dad died at 51 from obesity related issues. I am 36. This past year I have hovered between 40 and 41. Last year 2012, I was pregnant and my only weigh ins were while pregnant and my post partum visit weigh in I only gained 25 lbs (1) can I use any of those weigh ins to count? (2) my BMI was only 38 still morbidly obese but not above 40. In 2011 while I do have non-pregnancy weights my BMI was still only around 38. Has any one used pregnancy weights (first visit or post-partum visit) and has any one been approved not proving a BMI of 40 over the last 24 months?

TIA

Atl_Gadget_Grrl but u
can call me Charlotte
on 9/17/13 8:52 pm

VSG on 06/12/13

Topic: RE: Needing help with United Healthcare(bariatric surgery exclusion)

Contact Walter Lindstroms office and fight it. I have UHC, and had to go through the entire appeals process. Mine wasn't excluded, but I had to appeal all the way to the employer. There are ways to win against an exclusion. It will take awhile, but some of the provisions of Obamacare already in place could work to your advantage here.

Laurie

Sleeved 6/12/13 - 100 pounds lost to get to goal!

Wendie8427
on 9/17/13 10:17 am - MI

Topic: RE: Sending packet to insurance for approval...nervous!

I am also waiting here too!! Very Nervous too its going to be a long 2-4 weeks of waitng to see if I have gotten approved.

jeanalice
on 9/16/13 11:12 am

Topic: RE: Self pay and taxe deduction

Thanks for the info.

Jmontella91
on 9/16/13 4:18 am - MA

Topic: NHP (MA) questions.

I have Neighborhood Healthcare plan 2. I live in MA. I will be sending in my Bypass application in soon and im a little nervous. I have a BMI>50. Anybody used them or had any issues with them?

Thanks!

ampt
on 9/16/13 2:30 am

Topic: RE: Kaiser appeal help

Hi! I'm "the wife." I was denied because my surgeon believes that the risks outweigh the benefits based on my BMI. It makes me angry because I should be able to decide for myself how much risk is too much risk, right? Needless to say, I am starting the appeal process...