Recent Posts

monymony
on 7/11/07 10:56 pm
Topic: RE: Hello, new here
Hi Kym, you need to get all the documentation from the last 3-4 years from all the doctors and send it to the surgeon's office. The insurance specialist at the office will also give you a list of documentation you will need. I am so happy that your insurance will pay for it. Good luck.  Mona
monymony
on 7/11/07 10:52 pm
Topic: RE: Need infor. Insurance, Please help
Hi, call your insurance company and ask if they pay for wls. Then ask what criteria you need to qualify for surgery. If you would email me I can give you more information. Talk to you soon. Mona
Mishay36
on 7/11/07 9:58 am
Topic: RE: Hello, new here

Jean

I am so excited to learn things tomorrow night that I cant think. It just feels like there may finally be something to help me. And maybe this is it. I am so tired of being BIG. I just feel so tired and heavy. I had to have my gallbladder taken out in 1990, had kidney stones in 1998 and had a knee replacement in 2003. I have been on WW about 3-4 times, I tried the Medicaly supervised program HMR ( for about a week) it was so gross. And have tried low carb, low cal, low fat etc diets on my own. I just lose and gain the same weight over and over. It is just so hard to exercise with the excess weight on my knees.

WHich surgery did you have? Were you off of work long?  Thx Kym



Kym
    
J Brown
on 7/11/07 6:36 am - Omaha, NE
Topic: RE: Hello, new here
Welcome Kym.. You will learn so much after your meeting tomorrow night .A lot of questions will be answered. People aren't jumping in with answers because every doctor and insurance company are differant. What works for one person doesn't always work for another. It does help if you have you PCP on your side. I had a letter from mine and from my Rhumatalogist. Some insurance companies make you go  on a supervised 6 month diet.. so many hoops to jump through. Call your personal insurance company and see what they need. At your meeting tomorrow they may be able to tell you what experiences they have had with your carrier. What ever youhave to do, no matter how long it takes most will tell you it was worth the hassle and the wait. Hang in there,
JeanB
J Brown
on 7/11/07 6:29 am - Omaha, NE
Topic: RE: hi there...
It's always good to hear from you Beth. Hope you are having a GREAT Summer..Huggss Jeanb
JeanB
Chris C.
on 7/11/07 5:16 am - Hastings, NE
Topic: RE: Need infor. Insurance, Please help

Hello again- What insurance company do you have??  You previously told me that they do cover it so I would say start making appointments  with Dr's and make it happen!! You will need to go to a seminar with the surgeon you want. Be sure to go to a reputable surgeon. Do your homework and talk to people to see who they would recommend. What part of Ne are you in?? It seems you can go to Scottsbluff & Omaha are the only two I would suggest. In Omaha there is Dr. Thomas White ( I am going to him), Dr. Anthone, Dr. Rajan Sudan. There is a Dr. Halloway in Scottsbluff that I have heard good things about also. Once you go to one of the seminars, they will tell you what they require. I received a check off list  to work with or you can make one yourself. Good Luck and blessings to you, Chris C 

Mishay36
on 7/11/07 3:55 am
Topic: RE: Hello, new here
Chris Hello. My BMI is 42. I have a few co morbidities but not like others. 


Kym
    
Chris C.
on 7/11/07 3:46 am - Hastings, NE
Topic: RE: Hello, new here

Hello- The first thing I want to ask is what is your BMI ?? IBody Mass Index. If you do not know what this is, then look around on this site for a BMI calculator. Put in the info and find out. Insuarance companies have to have this . Most insurance companies want the BMI above 40 if you have no co-morbidities. Your insurance company will tell you what they require for WLS. Keep us informed. Blessings to you, Chris C

Mishay36
on 7/11/07 3:39 am
Topic: RE: Hello, new here
Mona: Thanks I just got off the phone with my insurance Co. Midlands Choice/Principal. They listed all the criteria and said that they approve both the lap band and RNY. She said that the main thing will be the documented prior weight loss failures. Of 12 months. I have had several docs. Do I call them and have them send the info to my current fam doc or wait for the St. E's docs to do it? Thanks


Kym
    
monymony
on 7/11/07 3:33 am
Topic: RE: Hello, new here
Hi Kym, welcome to the group. Your first phone call should be to your insurance company. Ask them if they cover weight loss surgery and what criteria you need to get approved for surgery. The bariatric coordinator at St. Elizabeth is Shelly Holman. She can also help you. Let us know how you are doing. Mona
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