insurance woes
Hi everyone, '
Well since my last posting I have not accomplished much except finding out that the doc ( Simpson) I was checking into wants me to pay 600 in advance and they would try to get the surgury approved then. I have Mercy care through the state insurance. Well the docs office (Simpson) told me mercy care does not cover lapband surgury at all, but yet I find a patient on his list with mercycare insurance. I am on the search now for a physician who can work with my access insurance. Access told me I should call the 5 other plans to see if any of them cover gastric surgury. I did see on the board here that Simpson and Juarez have worked with APIPA So if I can get a docs office to take that insurance I have to call Access and tell them I want to switch plans then after a denial I can switch to a different one. This all takes time. The lady at Mercy care told me to go to the ER and they would have to fix it but I know better than that , they will give me pain pills and refer me to a bariatric doc. Been there done that . I cant believe how much trouble I am having with this for god sakes my tube is in my pelvis and my port is floating all over I am in constant aching pain, I have no restriction as there is no fluid in my band. So how can they refuse me. It sure is a hassle to get a doc after moving out of the state (wisconsin)where I had the surgury. Nobody wants to touch me , damn my sister for throwing us out in colorado I had found a Doc who would fix it for me and Colorado medicaid approved it right after I got my daughter and I back to Arizona. Mercy care was questioning why a doc wanted 600 to take me on as a patient. Does anyone know of all the insurances that the state has which one might cover the lapband and what doc may take it ??? I sure would appreciate some feedback. Has anyone ever had there tubing come apart from the port??? Could this be a bad band ? Is it wrecked because they may have used dye when they did the portogram I had in 2004 the doc in Colorado said that if they used dye it may have clogged it as dye is thick and sticky ???? Law suit ????? Hel;p Help Help Sue 275/191/160 I was down to 174 but I have gained some weight back :(
I am sorry that you have had so many problems with your weight loss journey. I am pretty sure that the only Bariatric program in the entire state that takes your insurance and does NOT require a program fee is Bridges St Luke's with Dr. Fang and Dr. Juarez.
Good luck!
Joyce
Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
well I am going to switch from mercy care to apipa dr Juarez said they do work with that plan or healthchoice. So access is sending me a denial to switch then I need to appeal it because I need surgury and mercy care wont pay it .Then I can switch to apipa and they do work with gastric lapbanding. Generally I would have to wait till next year to switch but with the denial I can then appeal it and then switch to apipa silly silly silly but I will do what I have to do to get this surgury covered as my tube hanging in my pelvis is not good and the port herniating yikes thanks for your input Sue Taake