Recent Posts

Joyd532005
on 3/22/13 10:15 pm - WI
Topic: RE: New with questions....

I had my surgery at Theda Clark with Dr. Wasco a year ago.  I think they have a great program!  I did have some complications but I found their staff to be very responsive to any request.  I have lost 100 lbs!  It is a huge change in lifestyle but so worth it!  I would be happy to answer any questions you have. 

Tri_harder
on 3/22/13 4:39 am, edited 11/10/14 6:10 am
Tri_harder
on 3/22/13 4:28 am
Tammi_H
on 3/19/13 1:22 am
Topic: Information from those of you who have been through "the process"

I started the pre-certification process last April and my bariatric team (from Marshfield Clinic) met last Thursday.  Typically, how long does it take to hear back whether you have approval for surgery and do you get a letter?  Does a nurse call and schedule to meet with a surgeon?  Any information anyone has is greatly appreciated!!!

Nic M
on 3/13/13 3:08 am
Topic: RE: Cigna and Lap Band

GREAT advice, Tri.

 

 

 Avoid kemmerling, Green Bay, WI

 

Tri_harder
on 3/12/13 10:27 am
Tri_harder
on 3/12/13 10:07 am
SlimInMyDreams
on 3/12/13 5:34 am - STURGEON BAY, WI
Topic: RE: New with questions....

Thanks for your reply Nic.  I attended the informational seminar last night at Theda Clark and found that they did a fantastic job of explaining everything.  The insurance coordinator was also very knowledgable in regard to getting the procedures approved.  She did mention that United Health Care was difficult but not anything about Molina.  I am assuming that because Molina is also a Medicaid HMO, they are similar.  I guess we will see.  I have done much research on Dr.s Wasco and Georgen and feel very confident with them.  After the seminar I have decided to go with the Roux-en-Y procedure for the diabetes benefits as well as the excellent successes I have been seeing and reading about.  They pretty much ruled out the lap band.  They said they removed more than they put in.  I started seeing my pcp about diet in January and have been getting weighed each month since, while on his low carb diet plan.  I need a referral from him and I can get things under way. I hope it all goes smoothly.

Thanks again and I'm sorry to hear you had difficulties with your surgery and Dr. Kemmerling.  I hope things are going well for you now.

Tami

Nic M
on 3/9/13 1:27 am
Topic: RE: Cigna and Lap Band

Hi Sarah,

I'm sorry I can't offer you information about Cigna. I had lap band surgery done about 10 years ago and things have changed in regard to insurance coverage since then.


But before choosing the lap band, have you read the revisions forum and the failed WLS forum?  The lap band makes up the majority of those boards. In case you haven't seen this information:

http://www.obesityhelp.com/forums/failed_wls_second_time_aro und/a,messageboard/

http://www.obesityhelp.com/forums/revision/a,messageboard/bo ard_id,5360/

http://abcnews.go.com/Health/Wellness/lap-band-surgery-half- patients-complications/story?id=13187452

 

 

 

 

 Avoid kemmerling, Green Bay, WI

 

Sugarbaby112
on 3/8/13 11:44 pm
Topic: Cigna and Lap Band

 

Does anyone have any information about lap band surgery and  coverage with Cigna? I meet most of the requirements for Cigna; Over 40 BMI, overweight for more than 5 years, 3 months medically supervised diet, dietician consultation. I’m in the process of getting proof of all my diets but some are hard to get proof for. (Using Alli etc.) So has any one had the lap band surgery with Cigna?  Are they very stringent about proof etc. throughout the whole process? Do they really drag their feet through the whole process or do they give release within a timely fashion?

 

Thank you for all your help in advance!

 

Sarah

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