Dee from Dennis Smith Office

Lookingup
on 1/30/09 9:38 am - Sharpsburg, GA
I am glad to see that my insurance is not now in-network after I shelled out a chunk of change for my out of network benefits!  However, thank heavens they did cut me a little slack with their out of network benefits!


Lookingup
Pre Weight Loss 337
Pre Op 319
DS Surgery Oct. 23, 2008

LaShelle2
on 1/30/09 9:38 am - STOCKBRIDGE, GA
Strange he's not in network with more insurances, since he's such a good surgeon isn't it?

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

(deactivated member)
on 1/30/09 9:50 am

I think they're working on getting more in-network plans. The one's listed probably were easy to work out contracts with. I'm sure CIGNA is a pain in the A$$. 

I put in my level two appeal with CIGNA last week to have Dr Smith covered as in-network since they don't have any in-network DS surgeons in Georgia. I also don't have out-of-network benefits for bariatric surgery.  I'll keep ya posted.
LaShelle2
on 1/30/09 11:15 am - STOCKBRIDGE, GA
They're supposed to be getting in network with Cigna this spring.  I'll keep my fingers crossed for you

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

LaShelle2
on 1/28/09 11:22 pm - STOCKBRIDGE, GA
Nope. Only 2 surgeons in GA do the DS. Dr. Smith and Dr. Maynard.

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

Ginger L.
on 1/27/09 11:16 pm, edited 1/27/09 11:18 pm - Woodstock, GA
Ladies... I have been wondering something and been meaning to ask you guys.  I sure am not trying to start anyting but Have you ever wondered why so many Drs choose NOT to do DS?     I just want you guys to be as well informed as you can before making your decisions. 
I care about you and want you do do what is best for you and only you can make that decision but  there has just been something bugging me about that question.   Its not a NEW surgery so there has to be a reason in my mind.  
Big HUGS!!
G




Starting Weight: 325;  Pre Surgery Weight: 314

 

talksoupslp
on 1/27/09 11:31 pm
Ginger,
I'm completely with your thought process on this one!

-ts


Highest Weight/Surgery Weight/Current Weight/Goal
426.4/356/216.8/165?
LaShelle2
on 1/28/09 12:44 am - STOCKBRIDGE, GA
I would imagine because it's the most complicated, most expensive and least covered by insurance (because it's the most expensive).  DS surgeons are usually the most well trained surgeons, because the procedure is so much more difficult.

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

newlifebound2008
on 1/28/09 9:55 am
Ginger, from my research, the DS is a much more involved surgery and takes more time than most.  Not all doctors take the time to learn the process and stick with the other surgerys .  Just my two-cents.  Dr. Smith is the Best for any weight loss surgery (in my humble opinion).
(deactivated member)
on 1/30/09 10:05 am

The DS is more complex and complicated, It requires a skilled surgeon to provide an accuate and favorable outcome. It can take twice as long in the OR, so they can't do as many procedures as with RNY or Gastric Banding. The cost is higher so insurance companies have been slow to approve the higher dollar amounts. Medicare now covers the DS and insurance companies are now covering more. So the RNY and Gastric Banding are easier to get the money for because insurance covers those procedures and self pay is cheaper. I think that is more appealing to the surgeons. I think we will start to see more surgeons doing the DS as payment from insurance companies become easier.

In my opinion, (OR nurse for 15yrs), when you get an experienced DS surgeon, your getting the best. I agree you have to watch out for the inexperienced DS surgeons who are just getting started.

Thanks for listening to my opinion. I hope it makes sense.

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