Recent Posts

sarapilar
on 12/21/12 1:30 am
VSG on 02/21/13
Topic: UHC won?t give me my benefits and WLS requirements for 2012 - argh!

Has anyone who is trying to get WLS through UHC had this problem?  They say 2013 plans are not loaded into the system.  I mean, we can put a Man on the Moon, but we can't load this info 10 day before a New Year?  Anyone else?  Any advice?  I have gone to HR and all they have is the Medical SPD.  They've sent me back to UHC....

"The most difficult part of changing how you live and eat is believing that change is possible. It takes a fierce kind of love for yourself."Geneen Roth
    
sarapilar
on 12/21/12 1:27 am
VSG on 02/21/13
Topic: Requirements for Kaiser Bariatrics?

I'm asking for a friend - what BMI and co morbidities do you have to have to get into their program - I am asking for a friend who wants WLS.  Thanks!

"The most difficult part of changing how you live and eat is believing that change is possible. It takes a fierce kind of love for yourself."Geneen Roth
    
bellen
on 12/20/12 1:50 pm
Topic: RE: Revision
U have to prove a complication with the band such as acid reflux disease etc....then its medically necessary.
bellen
on 12/18/12 1:52 pm
Topic: medicare coverage question
I had the lap band 5years ago with blue cross/sheild.......im needing the band out with a revision to rny.
.any info if medicare covers?
biscocho
on 12/17/12 9:30 pm - union city, NJ
Topic: medicaid

Hello, everyone just wanted share that if anyone of you have this insurance.  UHC community plan. in NJ the only doctor that are taking this insurance here in NJ are.

Yvan D Ducheine MD PC                                       310 Central Ave Suite 203 East Orange, NJ 07018 (973) 674-5010 (Office) Map & Directions                                                                                                                 David F. Greenbaum 1000 Salem Rd Suite A Willingboro, NJ 08046 (609) 877-1737 (Office) Map & Directions

 

Househuntress5
on 12/17/12 4:55 am
Topic: Texas insurance that covers WLS

What insurance have covered your WLS in Texas? I would like links to their sites or anything that can help me get insurance.

Thank you.

noftessa0401
on 12/14/12 4:31 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Have no insurance... HELP

I'm afraid I am of no help in this situation, but I wanted to reach out and wish you luck.  There has got to be a way for you to do this.  Make sure you look at all your options.  Good luck!

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

Billie Jean Duvall
on 12/12/12 4:22 pm - Princeton, TX
Topic: Have no insurance... HELP

Hello everyone, I live in TX and I have no insurance and can't get insurance because of my weight. I don't work because I am a full time student. I have BMI around 54 (last I checked) and I am wanting to have WLS. Other than self pay are there any options out there for me? I was told I could try and get on disability but I have no clue how to go about doing that. I was also told to go to Mexico because it would be a lot cheaper and its just as safe as having it done in the US.

I am going to school to become a teacher and would love to have the surgery before I go into student teaching and residency. I don't want any of the TX school districts looking at my weight and come to the conclusion that I wouldn't be able to keep up with my students.

Any help or info would be great....

Billie Jean

mamabird69
on 12/9/12 9:26 pm
Topic: RE: Ohio Molina approved
I live in Columbus and also have Molina. Along with my obesity I have high bp, type 2 diabetes, and sleep apnea. I just don't know what surgeon to go to that will take Molina. Does anyone have any ideas here in Columbus?
missmomof4
on 12/9/12 2:07 pm
RNY on 09/10/12
Topic: RE: Keep Getting Denials for Insurance
If you are self employed, try getting insurance as a company. Most insurance companies will have a minimum number of employees. When my husband and I ran our own business, we stated we had two employees and we were able to get insurance through Kaiser. It is expensive though, but you don't have to do a health history or anything if you are a business.
        
HW 366 SW 318 CW 299
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