Recent Posts

Jody H.
on 4/27/08 6:49 am - Des Moines, IA
Topic: RE: Frustrated

I would still  check with a DHS representative.   I understood they wrote the rules so that IowaCare could cover services your primary insurance won't cover.    So it won't replace your insurance - but could be a gap coverage for things your insurance won't cover.  The grey area might be any prescriptions - since IowaCare won't cover drugs.

LynW
on 4/27/08 6:45 am - Central IA, IA
Topic: RE: Hi all! A week away from a tummy tuck..any suggestions?
Jeez, Janet, Where the heck you been???  I hope everything is going well for you!  You must be excited about your TT!  I only had the skin removed.  I had more issues with that than the GB.  I lost a lot of blood and passed out twice in the hospital.  Had to get 2 units of blood.  Then had a seroma that I named Fred since he was so persistant.  Not much pain involved tho.  Where are you having it done?   I'm sure everything will go fine.  I'm the person that if there is a .01% chance of a side effect, I'll have it.  So I'm not the norm. Lyn
Bren & George
on 4/26/08 1:33 pm - Sunland, CA
Topic: WLS LW Forum
Here is our creed, if you fit this you are a wls LW and we hope you will join us on the LW forum Here is the link http://www.obesityhelp.com/forums/wls_lightweights/ The Lightweight Creed (Created and approved by members of the OH Light-Weights Forum, Jan 2008)

I am a Lightweight. I am only one of many others like me. Together, we are a team. Though our journeys and choices may be different, we are bonded together by the commonality of being Lightweights and the strategies, successes and struggles that entails. It is this bond that defines this board.

I began my journey with a BMI of less than 45 and/or with less than 150 lbs excess weight. My lower BMI and excess weight does in no way make me less deserving of medical intervention, and I should not be made to feel inferior or guilty.

I qualified for WLS because I have co-morbidities, or because my medical history proves that my weight is diet and exercise resistant.

I have worked with my healthcare team to determine the best surgical option for me. I am confident that others have done so as well, so I will refrain from passing judgments. 

I will freely share the most accurate information I have, as well as my own personal journey and why I chose my surgery in an informative, educational and respectful way so that others may learn from my experiences. 

I respect the decisions of my fellow Lightweights, regardless of the surgery they chose and the nutritional/exercise plans they follow.

I will always promote health and a healthy lifestyle, whether physical or mental; and will respect alternate methods and views toward achieving good health, even if I do not espouse them personally.

I will always be sensitive, honest and respectful when contributing to discussions on this board and in my PMs. I will never flame, demean, invalidate or harass others for their questions or decisions. I will remember, at all times, the difficulties and pain I went through on my own journey and be considerate of others when discussing theirs.

I will always defend and unite with my fellow Lightweights against prejudice and hostility. 

I understand it is my responsibility to report offensive conduct to my fellow Lightweights, so that we may deal with offending parties as a united front to preserve the supportive and tolerant atmosphere of our board.

I understand that if my conduct becomes offensive, I will not be welcome to participate on this board any longer.


Brenda's ticker    
                                                  Georges's ticker
Proud Angel to Tantrica-CPL60,obrienbus18-JackieW- Magenta40





bzzymom
on 4/26/08 8:59 am - Atlantic, IA
Topic: RE: Frustrated
Thank you for the post and I checked in to IowaCare (they have a website).  Unfortunately, since I have insurance (even if it won't cover the surgery) with my company, I wouldn't qualify.  I have to have no insurance, whats so ever, in order to try to qualify.
Tonya M.
on 4/26/08 4:40 am - Fort Dodge, IA
Topic: RE: New with Questions

Hey Karla..well first off WELCOME to OH and congrats on making the first step towards a wonderful experience just lying ahead of you.  Now I dont have the same insurance as you but my advice would be to call your customer service @ your insurance (ask to speak to a supervisor-a lot of just regular customer service reps give all kinds of info that is not always accurate)...call then and ask them what you need in order to get approved for bariatric surgery and find out if your policy does cover it and if there are any exclusions..sometimes insurance companies dont cover RYN but cover Lap-band..I know kinda strange huh?  Anyway, thats what I would do.  Once you gather up that info, you can start doing what they require of you.  Ask for how long it takes to get approved..thats anyone's guess in all honesty..ive heard ppl get approved as early as in 3 days to like over a year.  Your surgeon will tell you that it is your responsibility to call your INS and find out what is needed to get approved.  Hope this helps in some way!  Oh and you may want to post on the INSURANCE HELP forum on here because you may find someone who has your same ins on there..its a pretty helpful forum..again hope I helped and congrats on embarking on this adventure..wish you much success with everything hun!

 

Always,

Tonya

Tonya M.
on 4/26/08 4:15 am, edited 4/26/08 4:28 am - Fort Dodge, IA
Topic: RE: Insurance Questions. New here. Central Iowa.
Hey Kari!  Wow, well first off I wanna say welcome to OH and I'm real excited for you.  Now as for the INS part of your question, I dont have the same ins so I cant really help you about that, but you could hit up the INSURANCE HELP forum on here..I know that when I needed advice about mine..it was pretty helpful.  I can, however, help you with the Dr.Eibes/LaMasters question..considering Dr. LaMasters is my surgeon.  I had my initial consultation with her back in October of last year and I really liked her.  Ive never dealt personally with Dr. Eibes but he seemed friendly enough at the educational seminar.  I too am having the RYN done laparscopically.  Even though I only met Dr. LaMasters once, she was very professional but very caring at the same time.  She explained everything to me so I understood that this surgery is not my "way out" but rather a tool for the life-long commitment I will be making.  She just was very informative but also showed a compassionate side as well.  Like she really cared about my well-being ya know?  Ive experienced no problems with their office when it comes to communicating and getting all my stuff turned in.  In fact, last week on Monday I finished up my required 6-month supervised diet and had my PCP send everything to Dr. LaMasters office which they did on Tuesday.  Dr. LaMasters office received it Wednesday, went over everything to make sure I wasnt missing anything & they sent it out to my insurance on Thursday. Whew! lol All in one week, now thats what I call action! lol  I know not everyone can have it go that smoothly, but my point is..they did a great job for me and have answered all my questions along the way!  I hope you enjoy working with them as much as I have..hope I helped in some way.  Please feel free to email me or msg if you have any questions or whatever.  Take care and I wish you the best on this great ride!
Tippurr_2008
on 4/26/08 1:28 am - IA
Topic: New with Questions
Hi!  My name is Karla.  I live in SE Iowa.  I asked my GP to refer me to the U of I Bariatric Center for a consultation.  This is a Wellmark Center of Excellence for obesity surgeryI've wanted to look into WLS for a long time, but my hubby wasn't on board with the idea until recently and I knew that this life style change would be next to impossible without a strong support structure at home.  Anyway, he is in favor of the surgery, now. I am 50 years old.  I weigh 330 pounds.  I have Type 2 diabetes, sleep apnea, hypertension, stress incontinence, lower back pain, and my legs swell every day.  I have Wellmark BCBS for insurance. My main question is, what can I expect?  How long will it take to get approved?  What hoops will I need to jump through?  Will I have to lose weight before surgery?  Do I have to see a psychologist? Has anyone here gone through the U of I program?  Any help will be appreciated.  Thanks in advance. Karla
Jody H.
on 4/25/08 2:59 am - Des Moines, IA
Topic: RE: Frustrated
I know this is a little after you asked the question - but also check into the IowaCare program with DHS.     If you are overqualifed for Medicaid - IowaCare can be an option, and one of the providers is the University of Iowa.
Margo E.
on 4/23/08 1:11 pm
Topic: RE: Mercy Capitol In Des Moines

I see you had Dr.Cahalan do your sugery . He is also my Dr. and I am hoping everything goes through and I can have the lapband surgery in July.  Tell me how u r doing and are you glad you had it? Hope to hear from you.  Margo from Ames

Kari J.
on 4/23/08 12:48 pm - Ankeny, IA
Topic: Insurance Questions. New here. Central Iowa.
After much research and thought I am taking the initial steps toward (most likely) RNY surgery.  I have my initial seminar that is required on May 9th with Drs. Eibes and LaMasters in Des Moines.  Because I am interested in laparoscopic as opposed to open Dr. LaMasters would probably be my surgeon of choice.  So here are my questions: Does anyone have any experience with Principal PPO insurance?  Difficulty of approval, etc.  My BMI is around 50.  I called today and made an appointment next week with my PCP to talk to her about getting records, etc of weight loss.  She has prescribed me Phentermine twice and obviously has record of my weight for many years.  How much of a "record" of weight loss assistance was required?  I'm sure I have record somewhere around here from buying my treadmill a couple years ago--would this be of assistance? Anyone have any ideas on actual out-of-pocket expense for the surgery?  My insurance, if approved, covers 60% and doesn't go towards out-of-pocket maximums for the year.  Just wondering what kind of cost I might be looking at. Just for taking a poll's sake--how long did it take you from initial consulation to surgery? Any info or any experience at all, especially with Dr Eibes/Dr. LaMasters would be much appreciated!  Thanks! Kari
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