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Thanks for trying to be helpful. I know you must mean well. Perhaps you are a passive personality type and accept things at face value in your outlook. On the other hand - I do not. I rock the boat and get things done.
I read your other posts on the Revision thread. Let me assure you, NOTHING in this world is IRON clad. People get around rules, laws and "NO" all of the time. I look for solutions and people on this board to give me some solid ideas on how to overcome this obstacle. Obstacles are things that get in the way. You have to go above, below or around an obstacle to get where your want to go.
I will prevail in the end one way or the other with the insurance one WLS per lifetime clause. Watch me.
And, I will seek out positive advisors on this board and elsewhere to acheive my goal. If anyone else out there is in agreement or wants to give support to me on this - klet's hear from you.
Thank you but the post is seeking ideas on how to overcome the problem.
as I told you on your other thread,it is what it is. You aren't getting any ideas on. Hpw to overturn it,because there are no ways to overturn. It. It is iron clad. Why else do. You think they have it worded like this?
Thank you but the post is seeking ideas on how to overcome the problem.
I had RNY in 2003 and am in need of a revision to DS due to complications, weight gain and a "mechanical failure" of the RNY pouch - in that I have a fistula. I was wondering how we may be able to get around the one surgery per lifetime issue with UHC? If you have had any success or have ideas, please let me know.
I don't think you can get around it. There is a reason insurance companies have this clause.
You might be able to get them to pay to have the fistula repaired but not a revision.
I had RNY in 2003 and am in need of a revision to DS due to complications, weight gain and a "mechanical failure" of the RNY pouch - in that I have a fistula. I was wondering how we may be able to get around the one surgery per lifetime issue with UHC? If you have had any success or have ideas, please let me know.
Hi all,
I am in the final stages of the pre-op medical clearances required before my surgeons office submits the request for Aetna coverage. For those with Aetna, how long did it take them to review your case and respond!
Any hints or suggestions to bolster the strength of the request? My surgeons office will do the submitting but I just want to ensure I am doing everything I can from my end to make it a strong submission.
Thanks!
christine
________
137 pounds lost - from a 24/26W to a size 8/10!
Did any have a problem getting std to pay you and keep your job while out of work
And the winner is....
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HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
has anyone had WLS excluded from their primary but covered by a secondary? this is my current situation. my surgery coordinator mentioned this may be an issue as the primary may not let the secondary cover the surgery but i don't understand how it can be an issue if it's completely excluded. if it's not covered at all why wouldn't the secondary be able to pay?
if your primary won't cover at all,the secondary might refuse to pay because the primary is not paying any.
Best advice...call the number on. Your secondary card and ask them. That is the only way you will know for sure.
Hockeymom87 · 0 replies · 611 views
