Recent Posts

amyskieblu09
on 10/13/10 9:01 am - Hillsboro, OH
Topic: RE: paying for bariatric protein shakes and vitamins
you say you get food stamps... there are some protein shakes that you can get on food stamps  if you go to the USDA web site it clearly explains as long it has a nutrition label and not a  supplement label you can get the protein powder on your food stamps! I found mine at krogers  it is designer whey  protein it has 18g of protein  200 mg of calcium and only 2 g of fat i by mine at krogers it rings up as a cash purchase but if you print the statement from the usda website and show it to a manager they have to give it to you on your stamps that is how i get mine As far as the vitamins I am still working on that myself i usally get some when the drugstores have them onsale buy 1 get 1 free. Hope that helps.
amyskieblu09
on 10/13/10 8:51 am - Hillsboro, OH
Topic: I am Approved
Oh my gosh I called my insurance today to check the status of the authorization request for the surgery and the woman at Molina said congratulations! you are approved !!!!!! I was so happy i just couldnt stop thanking her. lol! I go to see my surgeon on the 29th of October for my History and physical and Nicole from Dr. Schumacher's office said I will get my surgery date then . I am just so excited and had to share my news with everyone!
(deactivated member)
on 10/12/10 4:14 pm
Topic: RE: ? Medicare and seeing Dr.Nagle
I was wondering if you have an update on whether Medicare covered it? 
(deactivated member)
on 10/12/10 3:40 pm
Topic: RE: Illinois Medicaid - anyone w/ experience?
I would like to know this as well.   If I find out, I'll let you know.
Nan2008
on 10/12/10 12:45 pm - Midland, MI
Topic: RE: aetna - peer to peer APPROVED
Congratulations!!  I still remember the day I was called by Aetna and told my denial had been reversed!  I think I started crying I was so happy!  And the day my daughter got the call that her denial was reversed, I was so happy!   It's a great fee  It's a great feeling of relief!  I think the whole insurance approval process is the most stressful part of this whole WLS journey!

Good Luck to you!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
kimberly_gr
on 10/12/10 10:29 am
Topic: RE: aetna - peer to peer APPROVED
Congratulations!  I know you're probably doing the happy dance.
Kim
5'0"
"In two decades I've lost a total of 789 pounds. I should be hanging from a charm bracelet."  Erma Bombeck
  
ambo424
on 10/12/10 5:32 am - berkeley heights, NJ
Topic: RE: Are nut & psych evals covered by Cigna?
 make sure you get referrals from your pcp.  mine were both covered.  my surgeon also required an egd, and that was covered too.  just make sure to get a referral!
Kelkie
on 10/12/10 3:26 am - Baker City, OR
Topic: RE: Empire Blue Cross Blue Shield says VSG is still Experimental????
I got approved for VSG through BCBS North Dakota, PPO. I had to appeal an initial denial, and BCBS sent my appeal out for an external review on thier own. As usual the reason for denial was "investigational". I am almost 3 months out from surgery and including the 3 months prior to surgery that I was off my immunosuppressant meds, I have saved them more than $12,000 in prescription costs alone. The VSG is a much less expensive procedure than RNY, and way more effective than the band in most cases. I wish BCBS would embrace it instead of fighting it.

Do you have any comorbidities or health issues that could preclude you from the RNY or Band? I could send you a copy of my appeal letter if you want. PM me your email if you are interested. Good luck!
            
Kelkie
on 10/12/10 3:17 am - Baker City, OR
Topic: RE: HOW DOES "SELF INSURED" affect approval
The advantage to your company being self insured, is that if Aetna continues to deny you for surgery, you may be able to appeal to your company's HR department. I thought I was going to have to do that with BCBS, but they approved me on appeal.
            
sophielyn
on 10/12/10 12:04 am
Topic: aetna - peer to peer APPROVED
I am completely shocked.  After being given a verbal approval, receving a denial letter, my surgeon did a peer to peer yesterday & the denial was overturned.. I AM APPROVED!
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