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Topic: RE: Changes to FEP BCBS for 2011
I am Fed BCBS too. I have messed around all year and thought I could lose weight on my own and did not - so here I am. I barely made over 40 BMI, but haven't been that for more than last year at my app't.
I am curious - I couldn't tell, but is the sleeve covered for 2011? If it is - then it will be worth it to me.
Thanks!
Lynn
I am curious - I couldn't tell, but is the sleeve covered for 2011? If it is - then it will be worth it to me.
Thanks!
Lynn
Topic: RE: Self pay - need advice
Today I am calling my surgeon's office to find the cash pay price and what negotiations are available, as I am extremely comfortable with my surgeon and his team and would love to keep him if he's within my price range. I am open to traveling elsewhere in the US if needed, but Mexico is an option I am not interested in considering, though I have seen others have great success there.
Are there other self pays out there who loved their doctor, and what range was your total cost?
Any advice and information is much appreciated.
Thanks!
Amy
Yes, I am self pay and I adore my surgeon but my surgeon is not the only good and skilled surgeon out there. It really depends a lot on what surgery you are wanting.
Which WLS are you getting?
On December 15, 2010 at 6:30 AM Pacific Time, fypcdqt wrote:
After jumping through the insurance hoops, I was told that my surgery would not be covered under my benefits. It took 8 months for my company to provide a SPD to show the exclusions. So now I know there is no option for insurance coverage, I am trying to find the best self pay price with the best surgeon.Today I am calling my surgeon's office to find the cash pay price and what negotiations are available, as I am extremely comfortable with my surgeon and his team and would love to keep him if he's within my price range. I am open to traveling elsewhere in the US if needed, but Mexico is an option I am not interested in considering, though I have seen others have great success there.
Are there other self pays out there who loved their doctor, and what range was your total cost?
Any advice and information is much appreciated.
Thanks!
Amy
Yes, I am self pay and I adore my surgeon but my surgeon is not the only good and skilled surgeon out there. It really depends a lot on what surgery you are wanting.
Which WLS are you getting?
Previously Midwesterngirl
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
Topic: RE: Approval question
I would have to see the exact and complete wording of the policy before it could be answered. Is your policy posted on line somewhere? Can you copy and paste all the info pertaining to WLS?
On December 15, 2010 at 6:44 PM Pacific Time, Staceeann wrote:
I was approved for my surgery and Aetna approved 2 post op days, my question is what happens if I go over? what if there is complications and I have to stay longer? My policy says 3 days max. per admission..I would have to see the exact and complete wording of the policy before it could be answered. Is your policy posted on line somewhere? Can you copy and paste all the info pertaining to WLS?
Previously Midwesterngirl
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
Topic: RE: Tricare ins
thank you for your information! how do i know whether or not its going to be at an mtf? what is that? and like you said i have no oter medical conditions except being "fat".....did you just call and make an apponitment with your pcm...we are PCSing to fort campbell ky in feb and i would love to start with all this asap.... thanks in advance for any help!
Jessie Rose~~',{@
Topic: Approval question
I was approved for my surgery and Aetna approved 2 post op days, my question is what happens if I go over? what if there is complications and I have to stay longer? My policy says 3 days max. per admission..
Topic: RE: Window for surgery after approval
The insurance coordinator emailed me today and said that the approval is valid throughout the year in which it's given.
Sadly, my window for participating in the FSA closed Monday. HOWEVER, I do have money in my Thrift savings that I can take a loan against. I know that isn't a popular option but I know I can quickly re-pay the withdrawn amount and the interest charged is like 2.25%. There is no loan out there where I can get that low of a interest rate. So my plan is to save 1/2 and loan the rest.
Where there's a will there's a way!
Sadly, my window for participating in the FSA closed Monday. HOWEVER, I do have money in my Thrift savings that I can take a loan against. I know that isn't a popular option but I know I can quickly re-pay the withdrawn amount and the interest charged is like 2.25%. There is no loan out there where I can get that low of a interest rate. So my plan is to save 1/2 and loan the rest.
Where there's a will there's a way!
Topic: RE: Approved!
Congrats to you!
I am in fact going through this same denial process with BCBS of Illinois. I have been to the doctor since September and I get denied every time. The last denial I got I called and asked what exactly me and my doc needed to write down. My doc wrote everything they asked which was very detailed and just got my denial once again. I am so frustrated and will be calling them again tonite. If you have any letters or information that would help me in my case I would truly appreciate it. My email is [email protected]. Thanks!!
I am in fact going through this same denial process with BCBS of Illinois. I have been to the doctor since September and I get denied every time. The last denial I got I called and asked what exactly me and my doc needed to write down. My doc wrote everything they asked which was very detailed and just got my denial once again. I am so frustrated and will be calling them again tonite. If you have any letters or information that would help me in my case I would truly appreciate it. My email is [email protected]. Thanks!!
Topic: RE: UHC and a run around, anyone else?
Thanks for the imput, I'm glad you won your appeal! I'm trying to see if they can re-assign my NCM... if it's not one thing it's another. She keeps saying she's not receiving everything then she starts questioning stuff. The diet I sent her I wasn't even pregnant during it, she just took it upon herself to assume that. It's so frustrating. She has all my medical records which are from my OB/GYN and it clearly documents when I was pregnant and wasn't. I just feel like if someone is incompetent they shouldn't be in that position. Not to be mean... but it's a huge deal if I get approved or not. It's very frustrating. I'm glad I'm not the only one but it should be this difficult.
Topic: RE: UHC and a run around, anyone else?
I too had many problems with UHC Choice PLUS. My problem however was that I didn't have any co-morbidities so they kept denying me. I finally appealed and won the appeal. If they deny you due to the pregnancy, I would appeal it and make them show you in writing where it states that you cannot be pregnant at the time of the diet.
Good luck!
Topic: RE: Window for surgery after approval
I am not sure of the window after approval for surgery. However, for the out of pocket expense, do you have a health savings account or flex spending account? You should be able to use that full amount as needed.
Keep your head up!
Keep your head up!
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My insurance will not pay for my excess skin that hang down to my knees
Hockeymom87 · 0 replies · 605 views
Hockeymom87 · 0 replies · 605 views
