Cinga shbp Members New Info??

LaShelle2
on 4/28/09 7:42 am - STOCKBRIDGE, GA
I know I'm not the only one still waiting for approval, so here's the latest.


I spoke with Pam my case manager a whila ago. She informed me of new info they posted on the web on the 17th.

http://www.cigna.com/sites/stateofga/pdf/GA_Bariatric.pdf


As far as I can se there aren't any changes except the support group checklist has been added. You will need to download this and send it in w/ your paperwork.


If your surgeon had called previously and got requirements, you may want them to call again, to see if anything has changed.


Please keep everyone else in the loop wth any changes, new info, barriers,  you encounter. There are still a few of us waiting for approval. I know it seemed like everyone except you got approved all at once, but  there are more of us still waiting with you.


If it were not for all of us banding together on this, people who are now blessed to have their surgery dates would still be fighting for their approvals.


               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

talksoupslp
on 4/28/09 10:25 pm
Nice that they FINALLY put something in writing.  It seems well written and understandable.

And I think only 3 of us SHBPers have received approval so far.  Just to note Brenda H. has her surgery today.  I suspect her sister, who isn't very active on OH will inform us of her progress.

My date is 1 week from today!

Izzy, you got a date yet?


Highest Weight/Surgery Weight/Current Weight/Goal
426.4/356/216.8/165?
izzy2008
on 4/28/09 11:15 pm
Hello Ts, MY DS IS SCHEDULED FOR JUNE 8TH!!

Wanna know about my type of surgery? Visit www.dsfacts.com 

IZZY
HW/338 SW/321 CW/205
GW/185  (20 lbs from my goal!!! YaY!!)

Susan82397
on 4/29/09 2:30 am - Cochran, GA
I agree...I'm glad they finally have something in writing. I finish up my 6 month diet Friday, but I'm gonna have to keep at it another month so that I can get the psych eval done. I was supposed to have it done next Friday, but I've had a virus and had to miss work. Now, I have no days left, so I have to wait til schools out. Plus, I have to get up the $$ to go to Atlanta and pay the $600 fee that  I have to pay when I go for the nutrition consult.

Anyway, congrats to all those who have their dates! I can't WAIT to join you!!!

Susan, 45 (wife, mom, youth pastor, teacher)
HW 378/CW 46/GW 145





lrod1329
on 4/29/09 8:39 am
I read that new thing.  But I have a question concerning these support groups.  I live in Middle GA.  No one in this part of the state is doing any kind of wls.  So were are the support groups near me?  I live just outside of Macon.  NOTHING is around here concerning support groups, so what do I do?  It's just a bunch of crap they've added onto the ever growing list of "stuff" you have to do.
LaShelle2
on 4/29/09 9:00 am - STOCKBRIDGE, GA
Did you start the phone coaching? If you already started it before May --- ? cant remeber the date, you won't have to do the support meetings.

Several other people have posted they are trying to find a support group in middle GA too. Not sure if anybody ever found one. I thought there was one somewhere in Macon.

1. Call all your surrounding hospitals and gastrologists to see if they know of any groups.
2. See if your surgeon has an online group, maybe you can do it by webcam?
3. Start a group yourself!
4. Get a friend to fill out the form for you and cheat.  Besides what determines a support group?? A group is 2 or more people right? So, if you meet with a couple of friends and talk about wls isn't that a support meeting?  I know I'm playing devil's advocate, but Cigna has really put us through s**t


I guess what you do would depend on your time limits.  if you are close to submitting for approval I would go with option 4 and wouldn't stress over it.

You really should consider starting up a group down there. A lot of people in your area need a group. I would be lost without my support group and meet n greet buddies.

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

Keek77
on 4/29/09 11:14 pm - Rome, GA

Don't the support groups have to be at a Center of Excellence?

LaShelle2
on 4/30/09 12:29 am - STOCKBRIDGE, GA
I was told no.  Any group is fine as long as it is affiliated with bariatric surgery.   Anybody can fill out the form for you. it didn't require any credentials.   I guess it's done on an honor system.

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

Keek77
on 4/30/09 12:58 am - Rome, GA
Honer system huh?  When dealing with ins. companies there is no such thing..
LaShelle2
on 4/30/09 4:53 am - STOCKBRIDGE, GA
Not sure about how much checking they do to research the support group, but the form is pretty simple?? Someone just needs to put the dates, sign, and give a phone number.

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

Most Active
×