Recent Posts
Topic: RE: Beginner with 2 questions (so far)
I didn't have a medical history as well. I was healthy as a horse--and just as big! I wrote a letter explaining why I didn't have a history to provide--being uninsured for years as a grad student, not getting meaningful help from medical professionals when I did go, concerns about being put on diet drugs (can you say phen-fen?), etc. I did list diet attempts such as Weigh****cher, Nutrisystem (included copies of payments), etc. Maybe having such a high BMI (66) made it a no brainer, but I was approved.
So much of it depends on the insurance company,
Good luck,
Sally
Topic: Free Website Emotional Eating
Hi All, I just found this new website on emotional eating...its free...and I love it.
www.shedemotionalweight.com
Topic: RE: Step 1 - Which of these Insurance Providers Would be Best for Lap Band Approval?
When I went to my surgeon they had a huge packet of information that I had to fill out. In that packet it had me list all the diest I have tried over the past 5 years if they were supervised or monitored by a doctor etc and how much weight I lost and regained and how long I did the diet. I listed my attempts at Atkins, South Beach, Weigh****chers, Optifast, and I also did low calorie and excersize per doctor's order. I had a letter from my doctor that documented the first time we discussed weightloss and what my weight etc was at that time. To be honest I actually thought the letter would make it so I couldn't get through my doctor was a realy witch and was trying to make it sound like I only wanted surgery and wasn't willing to try other things when infact I was doing everything I could. I was so shocked and amazed.
Have you talked to a surgeon yet? That is the best place to start cause they are used to dealing with insurance companies and usually know exactly what it takes to get an approval. My surgeon never had one doubt mine would get approved and he was right. Blue Cross also has a benefits coordinator call you and talk to you about your decision and to make sure you are happy with the progress and don't have any questions once you get approved. I know if I had known it was going to be so easy to get approved for me (not everyone gets approved so easily) I would have done this years ago. Again good luck and feel free to ask away. :)
285/264/150/140
Highest/Preop/Current/Goal
Topic: RE: Step 1 - Which of these Insurance Providers Would be Best for Lap Band Approval?
Wow that is great! I actually did let the HR gal yesterday know that I wanted to go with Blue Access so I am very glad that I chose that one! I was going over the site though and it says that you have to have at least 3 years of documented medical supervision as far as diet and excercise routines, but I have also read that the Dr will send in a letter stating the information as far as previous weight loss attempts and diet regimens etc.... could you explain to me how that works? I am sure my questions probably sound very silly but I just want to gain some more knowledge of the application process. Thanks for the help!
Topic: RE: Step 1 - Which of these Insurance Providers Would be Best for Lap Band Approval?
Don't know much about the different policies but I have Blue Access with wellmark and I was approved with in 2 weeks on my first try. My portion of the hospital bills and everything after insurance was $1300. I was pretty happy about it and I have not had any issues with insurance not paying for things.
285/264/150/140
Highest/Preop/Current/Goal
Topic: RE: Beginner with 2 questions (so far)
Most insurance companies have a guideline for approval for and they are pretty much a wide range of things that must all fall into place. I would recommend caling your insurance company and inquire as to under what cir****tances they cover lapband then you will have a better idea of what you are looking at. I had to have a BMI over 40 with no comorbidities but details of 2 years in a row of monitored dieting. The dieting part was the hardest because I only had help a couple of times over the past few years but I wrote it all out and got approved my first try. I have Blue Cross Blue Shield. Good luck you could also call your surgeon I'm sure they know what your insurance requires.
285/264/150/140
Highest/Preop/Current/Goal
Topic: RE: depressed beyond control
Sally,
I am on the chicken and string cheese part. I tried some peeled cucumbers with fat free italian dressing last night and had no problems with it. I am really tired of eggs and beans tho I can tell yah that. I can barely eat either of them anymore. I am ok with the chicken, but not much you can do with 1 and 1/2 ounces of meat. So I make my chicken, then add a piece of lowfat pepperjack cheese and I put some salsa on that. That is my supper lately. Do u have any recipes you would like to share? I am in need of new recipes. Let me know and hope to hear from you soon. Thanks
Chris
Topic: RE: Beginner with 2 questions (so far)
well, I did a few searches and was able to answer my first question so never mind!
I haven't found anything on my 2nd question. My Coventry plan does cover lapband
(I called 3 times to confirm)
but how difficult are they to get them to say yes?

Topic: Beginner with 2 questions (so far)
1) I will be having my psych eval in a few weeks. What kind of questions are asked? What should I expect?
2) My medical records history is thin as I have been fortunate to have avoided almost all the comorbidities. I do not need to take medication for anything and so rarely go to the doctor. My BMI is almost 50. I have faithfully been on an exercise program for the last 2 years. Will that cut it with my insurance company Coventry?
Topic: Step 1 - Which of these Insurance Providers Would be Best for Lap Band Approval?
Ok, I landed a great job with the state, now I am trying to figure out Ahead of time which one of these insurance plans/providers to choose from so that when I do go to apply for the Lap Band surgery ... I will have less hassle and tail chasing to deal with. I have my option of the following:
And I was hoping to get some advice from people who have dealt with BCBS or the other companies in regards to which plan would be best for getting approved. Any suggestions, advice, opinion, or tips would be greatly appreciated! Thanks in advance fellow Iowans have a great day.
Wellmark Blue Cross and Blue Shield Available Statewide |
|
Deductible 3 Plus | www.wellmark.com |
Program 3 Plus | www.wellmark.com |
Iowa Select | www.wellmark.com |
IUP Select | www.wellmark.com |
Managed Care Organizations (MCOs) Options Vary by Location Managed Care Service Area |
|
Blue Access | www.wellmark.com |
Blue Advantage | www.wellmark.com |
United Healthcare Choice | www.unitedhealthcare.com |
United Healthcare Heritage Select | www.uhcrivervalley.com |