Getting Started

Melissa Glass
on 10/12/09 11:03 pm - Sugar Valley, GA
I signed up with CIGNA through open enrollment, but it will not take effect until Jan 1st. What do I need to be doing NOW to get the process going? I am new to all this but I want to have all ducks in order.  I need help. Can you start too early on this journey?

Thanks, 
Melissa
LaShelle2
on 10/13/09 1:14 am - STOCKBRIDGE, GA
No, it's not too early. Start NOW by setting  an appt w/ your pcp for the 6 months of diet visits, and start your 6 months of support group meetings.

here is a repost:

*** If you have not had surgery

yet, and will be seeking surgery


2010 please use the following


guidelines:




1. You must choose either the HRA or High Deductible plans for Cigna or United Healthcare when you choose your insurance for 2010. These are the ONLY options that will cover wls.  ALL the other plans will not pay for wls. Once open enrollment is over, it will be too late and you will have to wait til 2011. If you, or a family member are even considering wls, go on and err on the side of caution and get the HRA or HD plan.

2. You will be required to attend 6 months consecutive support group sessions and 6 months consecutive physician supervised diet visits before they will approve your surgery.   You can start this now even if you do not have the HRA or High deductible plan for 2009. This will give you a jump-start on the process. Be sure to document EVERYTHING you do!

3. Please stay tuned to the board for updates. There are several shbp members who were blessed to get wls this year.  We were guinea pigs, since this year was the 1st year in a long time wls was covered by shbp. It was a long and hard process for us. Hopefully, they have worked all the kinks out of the program and you will have a smoother approval process.  We will do all we can to guide you through this.  Please post to the board what you are going through get approved, as it will be very helpful to others.  We veterans could not have done this without relying on each other.

               **** 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  

lerkhart
on 10/13/09 10:16 pm
Be sure to call and get a Bariatric Nurse to assist you and set up your case file.  I did 6 months of meetings with a psychologists instead of support group meetings, but I have UHC HRA instead of CIGNA.  I had completed my 6 months of PCP visits prior to the insurance going into effect.  The nurse told me as long as it was within a year of my surgery I was ok.
Good Luck.

Linda
14.5 lost pre-surgery  5'1 1/2"                                      LW-Apple-Gold-Small.jpg image by PlicketyCat
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