Recent Posts
Topic: WV PEIA INSURANCE QUESTION?
I was just wondering if it is possible that I get my surgery financed. I have my insurance through my mother, because I am a college student. She is a teacher in West Virginia.
THANKS!
sarah
Topic: RE: New Member Looking for Advice
Welcome Rhonda,
I know how you feel. But, dont let the discouragement get you down. Think of it as a temporary road block.
I have been waiting for approval from my insurance for over a year now. My husband has Acordia/PEIA and there is so much red tape, its not funny. I was angry and disappointed the first couple of times I was denied and still dont have the go-ahead from my insurance company but you have to keep trying.
I am not familiar with your insurance company but a suggestion I would make would be to call the Medabolix Office again and see if someone there can give you more information. Most Physicians offices have specialists who deal directly with the insurance companies and know what is covered and whats not. Im working with Katie at Dr Shin's office in Charleston. Shes been bending over backwards to get things rolling for me.
It could be possible that your insurance company wont cover certain types of bariatric surgery. PEIA wont cover Lap Bands but will cover Roux n Y. With Acordia, you have to have ONE YEAR of weight loss documentation from your Primary Care Physician. And, I dont mean a little line in your medical records that says "Patient is on a diet". They want a mini novel about what youre doing and how youre doing it.
Keep your head up and press on. When the time is right, you will know it!
Jen
Topic: RE: To tell or not to tell??
Although, Im still waiting approval for my surgery, I have decided not to tell anyone except for my husband and a few close friends and family.
I feel its a personal choice.
Im a private person, by nature, so I dont feel that its anyones business but mine. I just dont discuss something so personal with people Im not personal with.
But, If you feel the need to have support from your work "family", you may want to involve them.
They will notice the change within a few weeks so you may have to say something then anyway.
Jen
Topic: New Member Looking for Advice
Hello all, I'm new to the group. I have been researching gastric bypass surgery for a little over a year now. I finally made the decision that I really feel this is for me. I'm 41 yrs old mother of 2 children 21 and 16 yr. olds. Happily married buh my weight has put alot of stress on my health, and everyday life. I called Medabolix Office and the lady that answered the phone was a sweetheart. She gave me all the information to get the ball started. I followed all her instructions, I went thru the seminars not just once but about 100 times now...LOL I probably know them both by heart. I then got all my paper work together, filled out the forms, got my diet history together and then I called my insurance, something I should have done first. For I see this is where it stops. My husband is an employee for A.T. Massey, we have BlueCross/BlueShield Insurance Anthiem. Well the gentleman I spoke with when calling to see if they covered this procedured was very nice, yet he informed me that NO my insurance covers nothing at all on it. Now I'm at a standstill because I'm not sure what to do. I don't know if everyone runs into this or if this is the only and final answer. I'm now very depressed and don't know what steps to take. So if any of you have any information that might help me, please respond let me know where to go from here. Thanks So Much Rhonda
Topic: RE: lap band
I am also wanting to have lap band surgery. I go Thursday to Ashland to a siminar, where are you go to Linda? If ya dont mind me asking. And who is going to do you surgery? Dr. Nease is going to do mine. I am so excited to get started. Good Luck Ladies.
Topic: RE: lap band
Hi--I have made my decision to have the lap band also. I am just starting the process--going to the seminar next week. Can't wait! I have a lot of questions, but I know it is the one for me. I looked up everything on the web about the surgery. It is a lot less risky and they don't cut you up inside. When do you have your seminar, or your appointment with the surgeon? I'd like to hear your progress also.
:0
Topic: RE: Its official I made the Century Mark!!!!!!!!!
Congratulations Kathy! I'm so glad to hear of your success. Keep up the good work and taking one day at a time. I am hoping to have WLS sometime soon. I will be having the lap band. So glad to hear of your success!
Lynda
Topic: lap band
Hi, im needing info on lap band has anyone had it? Dr Shin is who im going to go to.......... I researched surgury but think lap is what im interested in now
Topic: RE: Need Prayers
My heart goes out to you and your family. God bless you, my prayers are with you.
Topic: Its official I made the Century Mark!!!!!!!!!
Well it is official I made the Century mark as of yesterday. I got on the scales here at work (which is right on with the surgeons scales). I am down 100 lbs. I thought a month or so ago I made the Century mark but did not. I have been at a plateau for about a month now. Then I started going to the gym 2 days a week and walking around 2 miles every couple days now. I know I need to walk that everyday but I have too much in my schedule right at this minute.
My oldest daughter who is 28 weeks pregnant with her second child,is starting to have some complications. We hope this time around she will go full term but that may be questionable. My grandson who is 4 yrs old now was born at 27 weeks. He is doing fine now. So I have to stay close by for her. She is a single mom raising 1 son and getting ready to have another son soon. Also today is her 24th birthday (Happy Birthday Angela!!!!)
I feel fine. Glad I am 100 lbs lighter. I am also halfway to my goal. I hope to lose another 100 lbs by this time next year. Maybe even sooner. We will see. I am happy with my progress now. Not bad for being 7 1/2 months post op. I know others have lost more than I have in shorter time but I am glad I can do it this soon.
Well I better go, I am at work and need to get off of here. Take care all and God Bless each and everyone of you fine folks.
Kathy -100 lbs in 7 1/2 months