Recent Posts
Topic: Lost Insurance
I lost my insurance now what do I do? Had lap-band 2006 haven't gone in to get adjusted in a long time...starting to gain weight back.....very depressed...HELP!!!! Any ideas?
(deactivated member)
on 10/7/10 3:15 pm - Vacaytown, HI
on 10/7/10 3:15 pm - Vacaytown, HI
Topic: RE: paying for bariatric protein shakes and vitamins
Many manufacturers have programs to help people who cannot afford their products... I would say draft a letter outlining your situation and send it to some of the companies and see what happens. It doesnt hurt and its a write off for the company on their taxes. :) Good luck...
Topic: paying for bariatric protein shakes and vitamins
I know this is probably a frequent question, but I am wondering if there are any suggestions regarding ways to cut costs for bariatric protein shakes and vitamins.
I'm a grad student right now, so instead of having money I OWE money, big time. I can only work a few hours a week because of my classes and internship, and the only way I get groceries now is because I receive Food Stamps. The only reason I'm able to get the surgery is because I have a Medicaid managed care HMO, so there is no costs for me, and with all my co-morbidities it's more costly to "leave me fat" than to help me lose weight! However, Food Stamps won't cover bariatric protein shakes, even though they are the major "meal" after surgery and a primary source of nourishment. Furthermore, Medicaid won't cover such products either.
The only thing I have found thus far that might help is if I can get a prescription for Fleming Pharmaceutical's "ProBarimin QT" and maybe Medicaid would pay for it because it's medically necessary. I know it's not the greatest bariatric vitamin and I'd have to take 2x the recommended dose but I don't see how I could afford any of the other bariatric vitamins!
I did hear from somewhere that Bariatric Advantage has a program to help people get their vitamins - apparently your surgeon fills out a form for them. Has anyone heard anything about this?
Does anybody know of anything else that might help cut costs or help pay for bariatric shakes and vitamins?
I'm a grad student right now, so instead of having money I OWE money, big time. I can only work a few hours a week because of my classes and internship, and the only way I get groceries now is because I receive Food Stamps. The only reason I'm able to get the surgery is because I have a Medicaid managed care HMO, so there is no costs for me, and with all my co-morbidities it's more costly to "leave me fat" than to help me lose weight! However, Food Stamps won't cover bariatric protein shakes, even though they are the major "meal" after surgery and a primary source of nourishment. Furthermore, Medicaid won't cover such products either.
The only thing I have found thus far that might help is if I can get a prescription for Fleming Pharmaceutical's "ProBarimin QT" and maybe Medicaid would pay for it because it's medically necessary. I know it's not the greatest bariatric vitamin and I'd have to take 2x the recommended dose but I don't see how I could afford any of the other bariatric vitamins!
I did hear from somewhere that Bariatric Advantage has a program to help people get their vitamins - apparently your surgeon fills out a form for them. Has anyone heard anything about this?
Does anybody know of anything else that might help cut costs or help pay for bariatric shakes and vitamins?
Surgery Date: 12/13/2010 - Wish me luck!
Topic: RE: looking for cigna approval
I also have Cigna, I did my 6 month diet. Finished on August 20, 2010. Surgeon sent over stuff to Cigna on September 23, 2010. I called the following Monday and they told me there is a 30 day pre-determination and so far its been 15 days. Everyday I call and they tell me they still have time. I know someone else who had to wait the 30 days for them to approve. Hopefully they move a little quicker.
Andrea
Andrea
(deactivated member)
on 10/6/10 8:17 am - Vacaytown, HI
on 10/6/10 8:17 am - Vacaytown, HI
Topic: RE: Final denial from Aetna...going with 2nd insurance Buckeye Community Health plan???
Could you appeal through aetna that an employer review is a conflict of interest?? Just an idea:)
(deactivated member)
on 10/6/10 7:59 am - Vacaytown, HI
on 10/6/10 7:59 am - Vacaytown, HI
Topic: Can't afford medications? Look Here!
I have found many resources for the uninsured to obtain medications free. If there is a medication you take for hight cholesterol, blood pressure, etc. (some of our co morbidities) let me know and i can look it up to see if there is a program to cover it:)
Anyway, how is everyone??? I had RNY 5 years ago and insurance was a nightmare, but I have learned a lot along the way so lets share and help each other :)
Topic: Final denial from Aetna...going with 2nd insurance Buckeye Community Health plan???
I just got a phone call that stated that I was officially denied for my lap band surgery (see previous post on here). First I was denied by Aetna then for appeal it goes to my employer and they just decided to side with Aetna.
I have Buckeye community health plan as my secondary health insurance. If anyone on here has had any positive experiences with them-can you share them with me? I guess that will be my route. I know that bariatric surgery will be the only way I lose my weight and be at a healthy weight.
I don't know what step to take from here. Feeling discouraged-been working with Aetna and jumping through their hoops since March of this year and per my PCP and the barix clinic I was going thru they said all my paperwork was 110% right. On to plan #2.
Thanks for any advice,
Angie
I have Buckeye community health plan as my secondary health insurance. If anyone on here has had any positive experiences with them-can you share them with me? I guess that will be my route. I know that bariatric surgery will be the only way I lose my weight and be at a healthy weight.
I don't know what step to take from here. Feeling discouraged-been working with Aetna and jumping through their hoops since March of this year and per my PCP and the barix clinic I was going thru they said all my paperwork was 110% right. On to plan #2.
Thanks for any advice,
Angie
Topic: OHIO Unison Medicaid insurance
I was just wondering if anyone has gotten approved for surgery thur this insurance company?
Topic: RE: How did you do your 6 mo. of medically supervised WL if your insurance required it?
Did you do it with your PCP?I tried to use my primary, she didn't do medically supervised diets. She then sent me to a dietician. Luckily I only went to her once before I found out this would not count either. I then called my surgeons office and they recommended a office that they work closely with. This office knew what documentation had to be completed and everything. I ended up a month behind, but I'm on track now and on my 5th month. At first I was very upset about having to wait for the surgery, now I love it. I've lost 40 pound so far, was able to research way more and be more informed about my decision, and I started lurking here and learning from those that have been through the trenches.
On October 4, 2010 at 7:57 PM Pacific Time, Diamondhorse wrote:
On October 4, 2010 at 7:42 PM Pacific Time, kurn07 wrote:
Insurance did not cover. 60 bucks a pop.
Topic: RE: How did you do your 6 mo. of medically supervised WL if your insurance required it?
Forgot to answer this part of it.
My insurance paid the $20 co pay for the office visit.
My insurance paid the $20 co pay for the office visit.
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010