Insurance, Cash Pay and Financing

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on 8/2/12 11:54 pm - Irvine, CA

Topic: OH MAGAZINE - PLEASE LET US KNOW!!

We've created a survey about OH Magazine and we'd like to hear from you! The survey will only take a couple of minutes of your time but will let us know what you want regarding our OH Magazine.

Please click HERE to join the survey.

Thanks!!

Sincerely,
ObesityHelp Management and Staff

alycat75
on 8/2/12 11:58 am - Indian Trail, NC

RNY on 01/14/13

Topic: RE: Cigna Changed Diet Policy

I agree! I've got Cigna and that was my last hurdle to apply for approval! All engines are go now

enicholsRT
on 8/2/12 2:35 am

Topic: RE: Aetna Appeal Letter

Can you help me with the appeal process with Aetna. I had lap band done in 2004. I have never been able to get fills in my band. I get very ill anytime they try. So I found a new bariatric surgeon and he tried t get Aetna to approve a revision, so he will take out my band and then do a sleeve. Aetna will not approve the Sleeve, but they will approve the band removal. My doctor told me I could do an appeal. There reason is because I have no documented co-morbidities. I have a BMI of 39 but no other health issues. I have done several diets, had a band and cannot lose weight. If possible would you please help me with the appeal process.

nikimona
on 8/1/12 11:47 pm - FL

Topic: Avmed State of Florida

Has anyone been approved thru Avmed state of florida?. I am so nervous. I am waiting on my insurance for approval.

marceemarc
on 7/30/12 7:10 am - Graham, NC

RNY on 04/21/10

Topic: RE: Looking for insurance plan - need advice/help

Hi discordya ,
I dont know if this is a valid option for you, but I work for Blue Cross of NC. We offer GROUP policies , these can be as few as one person and as many as thousands of people.
It seems that maybe you are applying for Individual plans, these are usually more expensive and carry higher premiums.
Hope this helps some, I dont know enough about your area to direct you to a company but it could be worth checking out. Since you are self employed that will help you get it I believe. Contact the Insurance companies Group Sales Dept and check into it.

Good Luck!!
Marc

Keep a smile on your face....it makes people wonder what you are up to!

Cece9169
on 7/29/12 3:50 pm

Topic: RE: United Healthcare... conflicting info on requirements

My daughter has UHF and they are now telling her the 6 month requirement also. However that policy became effective july1 and she had been for everything already, just didn't have the approval from UHF. I want to know how to appeal this. Does anyone know of someone I can pay to backdate nutrition notes, I know that's bad, but hey I think UHF waited on her approval until this policy went into effect. Any help???

leanmama
on 7/29/12 6:14 am - St Louis , MO

DS on 03/26/13

Topic: RE: Coventry Healthcare of Georgia

I have Coventry, Missouri, exclusionary policy for any WLS. I was self pay for VSG. I was told by the program, CVTY that is that they would pay for SE of obesity, strike, loss of limb due to DM, etc... but nothing wellness related eg WLS. They only offer /$100 for Weigh****cher program. Such a pittance. I even work for Coventry!! Good luch and God speed. Maja

fairie0025
on 7/28/12 7:12 pm

Topic: RE: Insurance won't cover so I need $25,000

Hi I just wanted to let you know and anyone else that has to self pay, that I have been looking into VSG weight loss surgery and I do not have insurance. My best friend had Gastric Bypass at Jupiter medical Center by Dr. Jefferson Vaughan in Jupiter FL and I know a few other people that had their WLS there and they finance EVERYONE!! My friend actually had insurance but I don't. It is a great hospital and he is a great Doctor. It is a teaching hospital also where he actually teaches other Doctors about WLS.

"VSG surgery" is $5300 down and they will finance the rest through the hospital, total is about $16,000
"Gastric Bypass" is $7300 down and they finance the rest, total is about $26,000
"Lap band" is about $4200 down, from what I remember and the total is about $12,500
I am so excited, still trying to save the rest of the $5300, almost there....

Well good luck, hope you get your surgery, $25,000 is a lot of money.. Look into Jupiter Medical Center... I have pics of my friend before and after and in the hospital with the Doctors and more info if you want it... :)

Member Services
on 7/27/12 1:40 am - Irvine, CA

Topic: WHAT DO YOU WANT Survey

We want to hear from our members as to what you want. We've put together a survey with one question so we know the improvements and changes that are most important to you. Please click HERE to take the survey.

Thank you for participating in this survey so we know what you want.

Sincerely,
ObesityHelp Management and Staff