Recent Posts

BariBariHappy
on 7/22/11 6:23 am - MI
Topic: RE: Support Group in Royal Oak or Nearby?
Hi Traci, 
Did you join Club Bariatrix when you first started your journey? It was a one-time $99 fee thru Beaumont and then all your Nutritionist, Exercise Therapist and Support Groups are FREE.

Just wanted to check....I know that those $25 group sessions are expensive...but since I paid the $99 one time fee....it's been great going to the sessions.

I'm just starting this journey and I have my VSG consultation with Dr. Kraus on August 1st. Hooray!
I also had a LapBand consult with him but I've decided that I'm not going to go that way. And RNY...as much as I love it I can't do the malabsorption because of other issues.  

Thanks, Sheryl
meredith_123
on 7/21/11 12:10 pm, edited 7/21/11 12:12 pm - Waterford, MI
Topic: RE: Pre-Surgery diet?
My surgeon's office wouldn't schedule a consultation until we got the approval for that.  They submitted my proof of 6 months weight loss to get that approval, which took about 2 weeks. 
I have my surgical consult and behaviorist appointment on Monday, then they will submit for the final surgery approval.  I was told it could take up to 3 weeks, I'm hopeing it will be faster.  The doctor told me the 1st approval I already got was the hardest one to get. 
So once I get the final approval then I can schedule a surgery date.  At my surgeon's office, they said with Priority Health, they will not schedule a date until they get that final approval.  Should be early august when I get an answer, she said I'd probably get a September date.  I think my surgeron is already booked for the whole month of August. 
  5'5" -- HW 275/SW 246/GW 130/CW 157      
Valerie K.
on 7/21/11 10:11 am - Dearborn, MI
Topic: RE: Tummy Tuck
 wow that is great. I have went to my now family doc only 2 times he took pictures the last time of my problems. I hope I do not have to keep going to him for 6 months. I drive a school bus for dearborn schools so I guess our insurance is the same. 
My surgeon gave me the tool. Now it is up to me to use it right.
                                                               
nana S.
on 7/21/11 5:10 am - MI
Topic: RE: Pre-Surgery diet?
Are you approved for surgery ? if yes how long it took you and was the process easy with priority health insurance ?
nana S.
on 7/21/11 5:09 am - MI
Topic: RE: Pre-Surgery diet?

I have Priority Health insurance ( POS ) and I had to do 6 months supervised diet, because my BMI is 41.6 now I have appointment with the 2nd  surgeon on monday for the first time, so they can submit my documents to insurance. But I didnt know that priorityhealth 1st approves the consultation.

sonnieN
on 7/21/11 3:07 am - grand rapids, MI
Topic: RE: Tummy Tuck
I had an LBL & brachio done by Dr. Livingston who works out of the Grand Health Partners office here in Grand Rapids. That cost me just over $12k however I believe the quote I got for just a TT and brachio was around $6k. I believe they didn't include the panni part which was like $1,200 because they were going to be billing my insurance for that amount. I've found his prices are very reasonable and he does excellent work. Worth a call to find out if they will do a quote over the phone or maybe a day trip to the west side of the state for a consult.
Dawnie 88
on 7/20/11 9:18 pm
Topic: RE: Tummy Tuck
Hi Val...I have Blue Care Network too..for State of Mi employees.  A friend who has the same insurance, and who had the sleeve..got her tummy tuck covered by BCN.  She just had to go in to see the doc every month for 6 mths..to document issues w/rash under the tummy..and it was covered.

 

        
meredith_123
on 7/20/11 1:39 pm - Waterford, MI
Topic: RE: Pre-Surgery diet?
My sister had BCBS and was not required to do the weight loss period.  She did have to do 2 weeks liquid diet before the surgery (she had the sleeve), but that was a surgeon requirement.  They usually do that to try and shrink your liver prior to surgery.

I have Priority Health and I was required to do the 6 month weight loss period.  They would only waive the requirement if your BMI was really high.  I think it had to be over 50 or 55, I'm not to sure cause I didn't qualify for that. 
I didn't like the idea of the 6 month weight loss period, but now that I've finished it, I'm actually glad I had to wait.  It gave me more time to research my options.  I ended up finding out about the DS about 4 months into my wait, I was originally planning to do the RNY.  I had to switch surgeons since the original one I was going to use doesn't do the DS.  I have my surgery consult on Monday and then I have to wait on the final approval.  Priority Health 1st approves the consultation, then they have to get a second approval for the actual surgery.  I should have an approval within 3 weeks of my appointment, they they schedule the date. 
  5'5" -- HW 275/SW 246/GW 130/CW 157      
redheadjean
on 7/20/11 10:22 am - Canton, MI
Topic: RE: Pre-Surgery diet?
Last year Blue Care Network required it for those with a BMI under 50.  You had to have 6 months of document attempts at weight loss.  Doesn't mean you had to lose any weight, I just had to go to my doctor and have her fill something out with what I said I was doing which had to be weight loss and exercise and I had to get weighed.  The documentation format is very specific for BCN.
Jean  
Valerie K.
on 7/20/11 9:53 am - Dearborn, MI
Topic: RE: Tummy Tuck
I need a tummy tuck to. I have blue care network they are like blue cross blue shield. I wonder if they will cover mine. I get infections all the time under there so I hope they cover it. I heard if it is for a medical problem that they cover the tummy tuck. They covered my sleeve so fast no problems with my wls being covered.
My surgeon gave me the tool. Now it is up to me to use it right.
                                                               
Most Active
Recent Topics
×