Recent Posts
Topic: Aetna PPO - Thyroid Condition exclusion - Help?
I am hoping to have surgery soon after the new year. I currently have an HMO that does not cover WLS at all and am switching to the Aetna PPO plan which does offer it with all the hoops to jump through. I was pretty excited until I read today in the policy that you can not have an endocrine or thyroid condition.
Well...2 months ago I was diagnosed with Hoshimoto's Thyroiditis. Given meds and will go back to see the Dr. in 3 months. I have been morbidly obese since at least 17 when at my lowest remembered weight of 217. In 20 years I have gained 200 lbs. I am certain it has nothing to do with my thyroid but now I am super freaked out wondering if they are going to deny me based on this. What can I do? I can't convince my Dr. I don't have this condition...
Has anyone else had to face this hurdle?
Well...2 months ago I was diagnosed with Hoshimoto's Thyroiditis. Given meds and will go back to see the Dr. in 3 months. I have been morbidly obese since at least 17 when at my lowest remembered weight of 217. In 20 years I have gained 200 lbs. I am certain it has nothing to do with my thyroid but now I am super freaked out wondering if they are going to deny me based on this. What can I do? I can't convince my Dr. I don't have this condition...
Has anyone else had to face this hurdle?
Topic: RE: I am Approved
Thanks so much !!!!!! I sure do hope time flies by I was told that usally when i go to this physical and history appt and get my date, that is usally scheduled 1 or 2 weeks after that but the person who told me that has never had surgery like this but i really pray she is right I am ready to be on the looser's bench with everyone living a healthier life!!!!!
Topic: RE: I am Approved
CONGRATULATIONS!!!! I still remember the day I got the phone call that I was approved! The time will fly by til surgery!
Good Luck to you,
Nan
Good Luck to you,
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
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.
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
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
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.
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
Good Luck to you!
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
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
5'0"
"In two decades I've lost a total of 789 pounds. I should be hanging from a charm bracelet." Erma Bombeck
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!
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