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Topic: RE: losing weight during presurgery diet - disqualification?
I asked my surgeon the same question...he said the insurance goes by the starting weight/ BMI. I have lost over 20 lbs since January on his strict diet and exercise program, which is great, but I would be devastated if the insurance decided I was 'too small' for surgery after all this! Good luck to you!
~Ronda
Topic: RE: meeting high deductible
That is good news! A big difference, I'm glad things are working out.
I had concerns about Mexico and post-op care too, I didn't think it would be worth the trouble.
I had concerns about Mexico and post-op care too, I didn't think it would be worth the trouble.
Topic: RE: losing weight during presurgery diet - disqualification?
I am answering this only from something I heard at attending my seminar to launch the whole process just last night. One of the things they covered is that the insurance is mainly looking for proof of meeting with a doctor or nutritionist during that six months to make sure that you are loosing or staying steady with weight and not bouncing up and down. Also that monthly visit is to make sure that the doctor or nutritionist is talking with you about setting weight loss goals, exercise goals, etc... Specifically they said that loosing too much weight would not be a reason to loose approval.
Topic: RE: meeting high deductible
I got good news today.
I talked to my Dr's office and my tab is a LOT lower that I thought. I owe like $130-something. Much better than the $4000.00. I think I'll owe less than $1k for my testing and then my $5000 for surgery.
I seriously thought about going to Mexico but had concerns about any complications and aftercare.
I talked to my Dr's office and my tab is a LOT lower that I thought. I owe like $130-something. Much better than the $4000.00. I think I'll owe less than $1k for my testing and then my $5000 for surgery.
I seriously thought about going to Mexico but had concerns about any complications and aftercare.
Topic: RE: meeting high deductible
I started getting my pre-op tests in December 2010 and some of my big bills only apply towards 2010. My amounts that I owe after the insurance co-pay are enormous!. Like $5000 for 2010 alone. My tests for 2011 are going to be just as high.
I could've gone to Mexico with that $5k.
On March 3, 2011 at 9:30 AM Pacific Time, Crabadams72 wrote:
My deductable is $5000I started getting my pre-op tests in December 2010 and some of my big bills only apply towards 2010. My amounts that I owe after the insurance co-pay are enormous!. Like $5000 for 2010 alone. My tests for 2011 are going to be just as high.
I could've gone to Mexico with that $5k.
I know right! It is ridiculous. When you have to pay a bill does the whole amount apply towards your deductble, or is it a certain amount? Just trying to figure this whole thing out.
Topic: Is this unusual???
HELLO EVERYONE,
I HAVE FOUND THE SURGEON THAT I WANT TO GO WITH. THIS SURGEON IS ASKING ME TO PAY $500 DOLLARS FOR A PSYCHOLOGICAL EVALUATION AND $80 FOR THE NUTRITIONIST. MY INSURANCE COVERS BOTH. I HAVE IN NETWORK AND OUT OF NETWORK COVERAGE. THE OFFICE WANTS ME TO PAY FOR THE PSYCHOLOGIST APPOINTMENT UP FRONT BECAUSE SHE DOES NOT BILL AND THEN GET REIMBURSE BY INSURANCE. I HAVE BLUE CROSS BLUE SHEILD OF TENNESSEE. SHOULD I DO THROUGH WITH THIS OR FIND ANOTHER SURGEON? HAVE ANY OF YOU DONE THAT? AND HOW LONG DID IT TAKE TO GET REIMBURSE FOR IT?
I HAVE FOUND THE SURGEON THAT I WANT TO GO WITH. THIS SURGEON IS ASKING ME TO PAY $500 DOLLARS FOR A PSYCHOLOGICAL EVALUATION AND $80 FOR THE NUTRITIONIST. MY INSURANCE COVERS BOTH. I HAVE IN NETWORK AND OUT OF NETWORK COVERAGE. THE OFFICE WANTS ME TO PAY FOR THE PSYCHOLOGIST APPOINTMENT UP FRONT BECAUSE SHE DOES NOT BILL AND THEN GET REIMBURSE BY INSURANCE. I HAVE BLUE CROSS BLUE SHEILD OF TENNESSEE. SHOULD I DO THROUGH WITH THIS OR FIND ANOTHER SURGEON? HAVE ANY OF YOU DONE THAT? AND HOW LONG DID IT TAKE TO GET REIMBURSE FOR IT?
Topic: Empire Blue Cross Blue Shield
Anyone out there have success with approval?? I thought i was going to get approved and they changed their plan and I have to complete 6 mos. before submitting??? A little afraid of getting denied??
Topic: RE: Tricare Prime Approval - North Region
Awesome!! I have Tricare Prime as well and I had no problems getting approved.
Rhie
Topic: RE: meeting high deductible
My deductable is $5000
I started getting my pre-op tests in December 2010 and some of my big bills only apply towards 2010. My amounts that I owe after the insurance co-pay are enormous!. Like $5000 for 2010 alone. My tests for 2011 are going to be just as high.
I could've gone to Mexico with that $5k.
I started getting my pre-op tests in December 2010 and some of my big bills only apply towards 2010. My amounts that I owe after the insurance co-pay are enormous!. Like $5000 for 2010 alone. My tests for 2011 are going to be just as high.
I could've gone to Mexico with that $5k.
Topic: losing weight during presurgery diet - disqualification?
I'm just a little over 40 BMI. My insurance requires a 6 month diet. My question is if I lose weight during this time period while following the programs, I'll actually be below 40 BMI. Will the insurance company then turn around and deny me for being too LITTLE?! LOL - the first time I'll have ever been too small for anything! I'd actually like to try my hardest to lose and get a head start during the next few months, but it seems to be kind of an awkward position if being diligent is going to bite me on the tush!
As far as I know I have no comorbidities...
As far as I know I have no comorbidities...
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