Recent Posts

dbjohnson1963
on 5/28/17 5:49 am
Topic: RE: Insurance HELP!

My Viva Medicare Advantage Plan ( ALABAMA) covered my complete gastric bypass just like most Medicare will but you have to go thru 6 months of testing losing some weight and nutrition classes to prove you will be compliant and successful! Out of cost pocket was only 240$!( co- pay)! ??

amandawood1978
on 5/16/17 3:52 pm
Topic: KY Medicaid

Just found out today that I may qualify for Medicaid in KY. Does anyone know the requirements for the sleeve procedure in KY with Medicaid (dr supervised diet, etc.)? My current BMI is 44.9. I am insulin resistant & have pcos (on metformin). I lost 62 pounds on my own through mostly exercise & diet in 2016. But since the beginning of the year I have started putting it back on. I am up 14 pounds total.

Any info on requirements would be greatly appreciated. Thanks :)

araes2102
on 5/13/17 11:30 am
Topic: RE: Looking for options and advice

Another option is possibly going to Mexico for surgery. It's typically about $5000 plus travel expenses. The only thing I would caution is that not all surgeons deal with higher bmis, so you would need to mindful of that and ask the right questions.

(deactivated member)
on 5/11/17 5:43 am - St. Augustine, FL
will_king
on 5/8/17 8:54 am - Saint Joseph, LA
Topic: Louisiana Medicaid Acceptance

I'm newly on Medicaid and I'm checking into the possibility of WLS. I've already looked through the forums and checked with the only one I was able to find that looked like they would do it, DR. Dominguiz in Covington, but the patient advocate said he only does it for patients in Saint Tammany or Washington parishes which sucks because I'm in North East Louisiana.

Guys, I'm over 400 pounds and I feel like I'm at the end of my rope as far as weight loss goes.

If any of you know of anyone else I can check with please please PLEASE help me.

lancert82
on 4/26/17 2:49 pm - Powhatan, VA
Topic: Looking for options and advice

I have Anthem Healthkeepers through my job but they do not cover any obesity surgery. I have been to a seminar and called a local surgeons office. The visit is over $230 and the surgery is quoted at $15,000. I am currently considering CareCredit, GoFundMe, a WLSFA grant, or charity care through the hospital. I do have a BMI of 65 and several Co-morbidities. Any suggestions or advice about what kind of next steps to take would be appreciated. Thank you!

Mirandia
on 4/9/17 6:24 am
VSG on 03/14/17
Topic: RE: BCBS any hope? Weightloss surgery excluded

visit a bariatric clinic and ask them what plans they accept. When I went for the introduction seminar I found out my insurance at the time didn't cover it ... but they had a list of all the insurance plans they did take ... so I waited for the next enrollment period 9 months later and switched. 8 months after that I finished the required appointments and tests and got approved, my surgery was a month after that.

mskay
on 4/4/17 6:59 pm - chicago, IL
Topic: RE: Non-compliance and revision denial

Im currently going to Loyola medical center to get a bypass-revision, my medicare insurance is Aetna better health i have to go for six months don't gain weight, andi have to keep a log of my eating and exercise and submit it to the nutritionist every month... what did they say the reasons were for non-compliance?

RebeccaAnnette
on 2/24/17 3:28 am
Topic: RE: IEHP/medi-cal help/ self pay options? So lost.

Hello, I'm new to this but I have so many questions if anybody can please help ? Well I have IEHP, and I've had to do 6 months of weigh****chers and I've had to check in with my primary doc once a month, I didn't do good @ weigh****chers I gained and I lost, can that be a problem? My consultation with a Bariatric Doctor has also been approved.. They gave me an appointment to attend an informational seminar first, mailed me paper work to take for that day and said after that seminer I would get to have a "face to face" lol appointment with the Doctor SO.... Does any of this sound familiar to anybody??? If so what should I expect next? Will the 6 months of weigh****chers (and being  supervised by my doctor) be enough? And how long will it take for me to finally get my lapband surgery? 

tenellisha
on 2/7/17 7:30 pm
Topic: RE: Aetna Appeal Letter

Hello I'm looking to have surgery and I've been denied twice. My bmi is 43 and I did the physicians path and I have sever sleep Apnea and prediabetic but they said it's not a medical necessity. Would you be willing to help me too... 

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