Questions .... Anyone?

jeaneem
on 7/4/07 6:38 pm - Anchorage, AK
Hi everyone.   I went to my regular doc yesterday.  We had discussed this surgery last year and she gave me a referral.  Turns out that my insurance would not cover any weight loss surgeries.    Now, I have my insurance plus another.  Well, the new insurance covers the surgery!    That is why I went in to see her again.     I had explained to her that I had been on a weight loss program for EXACTLY one year to the day.  I had dropped 30 pounds but then leveled off and then gained 5 pounds back.  IN ONE YEAR!  Not much weight for such a long time.   Anyway .... she now is telling me that I need to be coming into her office once a month for 6 MONTHS then she would give the referral!    This really sucks!      I have to keep a record of my eating and exercise for 6 months .... I told her I have a complete record for the whole year, why would that not work?  It was not "supervised" by a doctor.    My gosh, I have diabetes.   I developed it when I was pregnant with my twins who are now 20 months old.  I hurt all the time.  I NEED to get this OFF.    Obesity is huge in my family.  So is heart problems and diabetes.   Because I have the diabetes, she said at 3 months, they would do the referral ......   Did everyone have to wait 6 months and be on a diet for 6 months???????????????    Any words for me here?????  Thanks!   Jeanee [email protected]  
camaib
on 7/6/07 6:49 am - AK
It all depends on your insurance. Go see the surgeon and let them fight it out with your insurance company. My insurance didn't pay for the surgery...and I work in the health care field..go figure but the State of alaska insurance did pay and I cannot thank them enough. No hoops...no gimmicks...no strange denials. Thank you State of Alaska. Camai

 

jeaneem
on 7/6/07 6:56 am - Anchorage, AK
Camai,   Will do.    I have Blue Cross AND Medicaid  .....  I have been advised to go ahead and go to the surgeon like you  said.    I have to many physical problems from the over weight ..... hopefully, it will get approved!   Going to take that advice!   Thank you. Jeanee
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