Recent Posts

nicsmommyof4
on 10/8/15 3:57 pm
Topic: RE: Has anyone got IEHP to approve?

Did you get approved? How long did IEHP take and what was the full process?

SheSingsLovelyVSG
on 10/3/15 7:09 pm
Topic: RE: Coventry of North Carolina

Have you received any updates from Coventry or your Surgeon? Did you have to do a 6 month supervised diet?

Caitlyncr
on 9/12/15 2:44 pm
Topic: RE: Oklahoma, the ACA, and BCBS of Oklahoma

I've in the same boat. I have Anthem (BC/BS) in Oklahoma, but have been told by customer service WLS is specifically excluded.   I verified this through two different WL surgeons.  One was a referral setup by Anthem.  It is really frustrating.  Did you ever get an answer?  Anthem is the only option I have through work unless I have military insurance. 

jcg526fit
on 9/7/15 4:54 pm
Topic: United healthcare parsons brinkerhoff employees

Has anyone been approved for vsg with this coverage?

hollykim
on 9/6/15 5:05 pm - Nashville, TN
Revision on 03/18/15
Topic: RE: Change in Insurance
On September 6, 2015 at 11:16 AM Pacific Time, MelodyMay wrote:

After speaking with the Hospital, I only need 2 years of recorded weight history..I don't actually need a PCP to do anything for me. 

how does the hospital know? Is is an insurance requirement. 

Will insurance accept 2 years of recorded weight from anywhere? The recorded weight history is usually what the PCP does.

 


          

 

MelodyMay
on 9/6/15 11:16 am
RNY on 03/01/16
Topic: RE: Change in Insurance

After speaking with the Hospital, I only need 2 years of recorded weight history..I don't actually need a PCP to do anything for me. 

hollykim
on 9/5/15 12:55 pm - Nashville, TN
Revision on 03/18/15
Topic: RE: Change in Insurance
On August 29, 2015 at 8:34 PM Pacific Time, MelodyMay wrote:

I have to leave Aetna for at least 6 months (didn't fulfill my hourly requirement thru my job) I was told COBRA would keep everything the same but I am finding myself stumbling from one road block to another and was hoping someone could tell me if there is an insurance company that only requires the 2 week liquid diet or something less time consuming than Aetna.

Figured, if I am being forced to change insurance companies, maybe I can find one that won't make me wait so long or won't require a PCP to sign off on it too.

Any info you have would be helpful. 


Thanks!

the two week liq diet is a surgeon requirement ,not insurance. 

i have never heard of an insurance co that didn't require a PPP to sign off.

 


          

 

MelodyMay
on 8/31/15 11:56 am
RNY on 03/01/16
Topic: RE: PCP required?!

I am going to call my surgeon today to see about getting a recommendation for a PCP in their medical center. I'm hoping that by showing I have a PCP and giving them about 10 years of W. Watchers weigh-in charts, they will still let me qualify. This isn't a new condition for me. I have been fighting my weight since I was 13 years old. 

chaplainJess
on 8/31/15 10:20 am
Topic: RE: PCP required?!

I didn't have a PCP either. I didn't have health insurance for the past several years. Now that I have health/dental insurance, I have been having a lot of "deferred matanance" appointments. Also, the surgery is going to max out my high deductable, so I may as well take advantage of that. The medical director for the center is family practice and agreed to take me on as a new patient. He is a fabulous doctor and I love that he is very educated and supportive on WLS. Are there any doctors that your surgeon or center could recomend?

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