im apppproved

michelle mabry
on 2/15/11 10:35 am - ME
i had blood work done, ekg,ultra sounds on my legs and belly,pulmonary fuction test,sleep aptnea test,physical,upper endoscopy,chest x-ray,psych elulation,sports medciane consult, and nutrionion class and all those were all done by december my last nutrionist class was done feb 5th which made my 6 months of dietian visits your doctors office does things different i guess eh
            
kimkel
on 2/15/11 10:39 am - Ellsworth, ME
 Yeah it has been kind of crazy and as I go along they keep changing or adding things.  They said that is because Mainecare keeps changing things.  I will just be glad to hear when I get my approval so I can breath a bit easier that is forsure. LOL

Kim
        
michelle mabry
on 2/15/11 10:41 am - ME
yeah i dont blame youuuuuuuuuuuuu
            
Bkritty
on 2/17/11 2:06 am
Hi There! I am also going through Dr. Toder in Bangor. I have done my physical therapy appointment, and nutrition class and i have my dietition one on one and and sleep study next week. Psych appointment is March 16th...what happens from there? I also have Maine care and am doing the six months of appointments with my PCP but no one has said anything about a pyloric test, endoscopy, ultrasounds, stress test...is this stuff I should be asking about or is it specific to each patient and not specific to maine care? I am trying to get everything done in hopes I can have surgery early summer. Any help or advice would be appreciated!
kimkel
on 2/17/11 4:07 am - Ellsworth, ME
Bkritty, I was required to have a pulmonary test, sleep study, nutrician class, physical therapy, dietician class atleast 1 support group meeting, 3 year history showing I had a BMI over 35, 6 month dr suppervised diet, I had to have a stress done not sure if it is because I have high blood pressure with a high pulse rate or if it is just a requirement ,period.  You can have a choice between having a endoscopy or a pyloric blood test done.  I choose the blood test. LOL  I did not have to have a ultrasound.  I also had to a thyroid test and a A1C test.  I also had to have co-morbs.  They submitted to ins yesterday so I am hoping that I will be lucky enough to get my approval fast like some of the others.  I have a tentative date for surgery for March 17th.  Good luck feel free to ask me any questions.
Kim
        
Bkritty
on 2/17/11 5:30 am, edited 2/17/11 5:31 am
Good for you Kim! You must be so excited! That is soon! I was wondering when they told you that you needed to have the stress test done and pyloric blood test done. I also had to do the 6 months of dr. supervised diet and the thyroid test. I do not have co morbidities but they said that was okay. Im just kind of wondering when I will know that i have to do these other tests. I am assuming since I have mainecare too they would be required but I suppose it has to do with your whole health status too? I just don't want anything to slow me down! Thanks for the info!- Kristie
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