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bersjourney
on 7/26/11 6:36 pm
Topic: RE: From initial consult to surgery w/ Dr. Nease?
Hi

I've been trying to get ahold of Dr Nease staff to sign up for a seminar but I never get an answer. I've left a message with my name and phone number but they never returned my calls. Is this normal? What should I do? I live about 2 hours away from Huntington, in Vienna.
kittenlily
on 7/22/11 5:29 am - WV
Topic: RE: From initial consult to surgery w/ Dr. Nease?
Thanks! I hope so too :)

Jackie takes a little time to return calls because she's really busy. Plus I think they are missing two peeps from the office due to vacations. She'll return your call.. it just might take a day or two.

Honestly, after the psych eval and the nutrition class, if your insurance doesn't require 3 nutritionist visits like mine did, you should be good to go! Once you're approved and have a date set, you'll have one more visit called the "nurse's visit" where they cover the diet you go home on, tips for your hospital stay and offer to answer any final questions you have.

Looks like we might be having surgery at around the same time! :)
(deactivated member)
on 7/21/11 10:53 am - WV
Topic: RE: From initial consult to surgery w/ Dr. Nease?

Congrats! Hopeyour approval comes soon. I saw Dr Nease on Monday. I talked to Jackie on Monday. We had a little disagreement because my insurance does not require a 6 month diet. She doesn't believe me. SO I called my insurance rep. They tried to call her and tell her that I don't need it. I've tried calling her all week and can not get a return call. :( Hopefully she calls me tomorrow. I did my blood work, chest x-ray, and ekg today. I have my psych evail and the nutrition class in the next two weeks. I'm not sure what happens after that.

kittenlily
on 7/20/11 3:42 pm - WV
Topic: RE: From initial consult to surgery w/ Dr. Nease?
It honestly does depend on your insurance.

I've finished all of my requirements for Aetna finally and am waiting for a response regarding approval. After that, Jackie says that it could be about two weeks before the actual surgery date. Of course that also depends on the number of surgeries Dr. Nease has scheduled also. It all moves pretty fast after they get the information they need though. :)
(deactivated member)
on 7/20/11 1:31 pm - WV
Topic: RE: From initial consult to surgery w/ Dr. Nease?
I've been wondering the same thing. Dr Nease is my surgeon as well. My insurance doesn't require much at all. I don't even have to do a pre-diet. How is your journey going so far? 
Callae E.
on 7/14/11 8:53 am - Lundale, WV
Topic: Aetna Administrators PPO
Does anyone know how I can find out if they'd cover wls????
Kristen890
on 7/2/11 12:57 pm
Topic: RE: Anyone have to deal with stupid PEIA?
I recently found out that PEIA changed their requirements back in Feb 2011. I found out from Dr. Nease's office. I was originally dealing with Dr. Shin's office staff, but getting through to them is like pulling teeth and they act like they don't keep up with insurance requirements b/c they obviously didn't know anything about PEIA's recent changes. Plus, everytime I would call them I would always get their answering service b/c they take extremely long lunches. Their answering service even said they were getting aggravated with them. Anyway, I filled out some info on the net and Jackie from Dr. Nease's office called me back and told me about the changes. I was so happy b/c she said you have to have a bmi of 40 now with no comorbidities, but you must loose the 10% of your weight and not gain an ounce before surgery or you won't qualify. I am waiting to talk to her July 5, 2011 bc she is on vacation. Dr. Nease's office staff seems alot more caring and seem to know what they are talking about better, so I am going to them if all works out. I was only trying to deal with Dr. Shin b/c he is closer. I have heard that Dr. Shin is very good doctor, but I have had it with his office staff never answering the phone. I have also heard from many people that Cabell-Huntington hospital is better than CAMC from other people's personal experiences, but I don't know. I am sticking with Dr. Nease if I can.
luv2lw
on 6/23/11 4:46 am - hinton, WV
Topic: RE: Anyone have to deal with stupid PEIA?
I am a PEIA insurance holder.  I have not been approved yet for the surgery, but I am taking the necessary steps.  I guess I do have the premorbid problems and I am considered morbidly obese.  However, there is still a lot of steps they require you to take before approval.  I work the medicaid program and it seems that medicaid people are getting approved easier than PEIA people.  I am in the 10th month of the year long saga.  I have not lost the necessary 10% of my body weight, so I guess I will struggle with that part of it.  Who is your doctor?  I have been gone to Dr. Shin.
Kristen890
on 6/18/11 5:02 am
Topic: Anyone have to deal with stupid PEIA?
Does anyone know how to fight PEIA and get approved for weightloss surgery? I'm not even eligible to apply for weight loss surgery because I don't have any of PEIA's tiny list of comorbidities, eventhough I have other problems, it's just problems they don't recognize. It makes me so mad, because if I had any other insurance I would have already had the surgery and been done. I am 100t lbs overweight and I need this surgery desperately. I have been on diet after diet and can't loose weight. What do I have to do to get surgery?! I have already done the year PEIA requires and lost a few pounds and can't loose anymore weight and I have already had tests done to see if I have any of the qualifying comorbidities, which I don't. What else can I do? I can't just give up. I need to loose weight. I need to fight for this. PEIA wants you to be sick first and I don't want to get sick first before I get approved. Has anyone fought them and got their surgery without having their tiny list of comorbidities? Can anyone help me with some tips?
panhead58fl
on 6/14/11 6:45 am - Barboursville, WV
Topic: RE: Dr. Stickler no longer seeing WLS patients??
If you go to his profile here on OH, it says he is retired.

pan head
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