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Topic: RE: Need some help.
The problem is Oakwood pretty much refuses to give refferals to any Dr. that is not associated with Oakwood Medical. Your better off getting a new PCP.
Its all money and politics on this one....its not you.
Its all money and politics on this one....its not you.
DS Aug 15th,2005 @ goal, living life and loving it.
"An Arabian will take care of its owner as no other horse will, for it has not only been raised to physical perfection, but has been instilled with a spirit of loyalty unparalleled by that of any other breed."
Topic: RE: BCBS of Ga
Brandy,
I got approved thru bcbs of MI. Most bcbs plans dont give pre-authorizations. so what I would do is to see a dr. [after you attend a couple seminars] and then his insurance people will call you and let you know if its covered and criteria. Unless you want to call your insurance and do it yourself. Just ask if there is a preauth that the dr needs and what the conditions are that you need to be approved for wls. You didnt say how far you are in the process, but it helps to get the code of the procedure you are having when you call.... I would just mention you are having the surgery in MI, but I dont think it will matter.
bm
I got approved thru bcbs of MI. Most bcbs plans dont give pre-authorizations. so what I would do is to see a dr. [after you attend a couple seminars] and then his insurance people will call you and let you know if its covered and criteria. Unless you want to call your insurance and do it yourself. Just ask if there is a preauth that the dr needs and what the conditions are that you need to be approved for wls. You didnt say how far you are in the process, but it helps to get the code of the procedure you are having when you call.... I would just mention you are having the surgery in MI, but I dont think it will matter.
bm
Thoughts become things... choose the good ones!
Boxermom
290/190/160 TT done
sw/cw/gw
Boxermom
290/190/160 TT done
sw/cw/gw
Topic: RE: Need some help.
call the bariatric department in the main building on west grand Blvd in Detroit. they will tell you what to do . i had HFH and did not have any issues. And the Henry ford main has a better support system too!. sounds like your PCP is full of it. try mine Dr. Schabatis he is at m14 and beck rd. or even Dr. rabeek! same place. they know how to make the puppets dance. LOL
Topic: BCBS of Ga
Anyone get approval through BCBS of GA? We live in MI however insurance is thru, GA. My BMI is 31.1 and I have HBP...
Topic: RE: Need some help.
I attended the free seminar given by Michigan Bariatric, filled out paperwork there for surgery and they coordinated with my insurance. I had the surgery scheduled, then told my pcp. If she had not been supportive at that point, I would have asked the surgeon for a pcp suggestion.
So, why is a referral from the pcp an issue for you?
So, why is a referral from the pcp an issue for you?
Topic: RE: MEDICAID AND MEDICARE SURGEONS LIST!
I live in Metro Detroit and drove to Muskegon. Mercy Hosp did my surgery...Dr Gluck...I had Molina through Medicade and it was covered....
Dr. Brian Gluck, D.O., P.C.
1325 East Sherman Blvd
Muskegon, MI 49444
Dr. Brian Gluck, D.O., P.C. 1325 East Sherman Blvd
Muskegon, MI 49444
Topic: Need some help.
Hey everyone, I'm having some trouble at my PCP doctors office. I go to Oakwood Healthcare Center in Southgate, Dr.Odeh is my PCP, I told her month ago I was considering WLS and she agreed with me.I went too a few different seminars and I really liked Dr.Hendricks from Henry Ford Wyndotte. I went ahead and made a nutritionist appointment, went too that and made a consultation appointment with Dr.Hendricks for this Thursday. I called the office of my PCP and requested a referral for Dr.Hendricks, that was about last week, I didn't hear anything from them so I kept calling, Dr.Odeh said she signed and gave the referral to the referral coordinators, I guess there the ones they decides if they want too send it or not. She told me because Dr.Hendricks is out of Henry Ford that they most likely wont send the referral... I went ahead and canceled my appointment since its been over a week and I cant see Dr.Hendricks until I get the referral. Has anyone else had a problem like this? Should I just go ahead and find a different PCP that's in the Henry Ford network, or just keep calling the referral coordinators and see what happens?
Topic: RE: MEDICAID AND MEDICARE SURGEONS LIST!
wow at his seminar he said he will except medicare but it is up to medicare to except him I guess. Just like hap does not cover any weight loss threw Henry ford wyandotte. I would call medicare and ask them why they will not do business with wyandotte.
My surgeon gave me the tool. Now it is up to me to use it right.
Topic: RE: OT: Five For Friday - Lurkers Join In!!!
1. What is your favorite Dr. Seuss Book? Green eggs & ham
2. Do you wear hats? If yes, what kind do you wear? Nope, I let my hair fly with the wind and snow!
3. When was the last time you went to the zoo? Last year with hubby and my beautiful grandchildren
4. What NEW food have you tried lately? Did you like it or hate it? Teriaki beef jerky and loved it.
5. Do you show your feet in the summertime? Or are you a year round sneaker wearer? I go bare foot in the summer if I'm home. Wear sandals and tennies for walking
1. What is your favorite Dr. Seuss Book? Green eggs & ham
2. Do you wear hats? If yes, what kind do you wear? Nope, I let my hair fly with the wind and snow!
3. When was the last time you went to the zoo? Last year with hubby and my beautiful grandchildren
4. What NEW food have you tried lately? Did you like it or hate it? Teriaki beef jerky and loved it.
5. Do you show your feet in the summertime? Or are you a year round sneaker wearer? I go bare foot in the summer if I'm home. Wear sandals and tennies for walking
Topic: RE: OT: Five For Friday - Lurkers Join In!!!
It's a plan! now where is cheryl and Sandi these days!
"When we stop running away from the situation that is scary - that is the moment we discover how strong we really are. So, acknowledge your strength...rejoice in it...and start breathing in life, as the beautiful, strong soul (being) that you truly are." - Rachna Sirtaj.......Love & Peace
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