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Topic: Cigna "Duration of more than 5 years"???
Ugh! I've been denied TWICE from Cigna. "The obesity problem must have a duration of more
than five years. The documentation submitted indicates that while your current BMI is greater
than 40, it has ranged between 30 and 40 over the past 5 years. Therefore this request cannot
be approved, as the documentation does not support that you have been consistently obese
over the time period required by your benefit plan."
Ummm............ I thought having a BMI of 30 or greater IS obese?! It has fluctuated because I have been trying on my OWN to lose the weight before turning to the Band.
Has anybody been through this? Any suggestions? I'm about ready to give up. I asked for their requirements many times and NOWHERE does it say the mentioned above, only in their letters to me.
Any help or suggestions would be greatly appreciated.
Thank you.
than five years. The documentation submitted indicates that while your current BMI is greater
than 40, it has ranged between 30 and 40 over the past 5 years. Therefore this request cannot
be approved, as the documentation does not support that you have been consistently obese
over the time period required by your benefit plan."
Ummm............ I thought having a BMI of 30 or greater IS obese?! It has fluctuated because I have been trying on my OWN to lose the weight before turning to the Band.
Has anybody been through this? Any suggestions? I'm about ready to give up. I asked for their requirements many times and NOWHERE does it say the mentioned above, only in their letters to me.
Any help or suggestions would be greatly appreciated.
Thank you.
Becky
Topic: ?Question about Insurance?
I'll try to make this breif and not confusing so bare with me lol
Me and my husband recently finally got jobs *yay* and my husband is going to get BCBS of Alabama for our family (him, me and our son)
I have been wanting to get gastric bypass and so now I am finally taking the steps on seeing a doctor and get this ball rolling. But I was just wondering with my husband just now getting the insurance September 2010 would this cause any problems of trying to have the surgery in 2011?
Me and my husband recently finally got jobs *yay* and my husband is going to get BCBS of Alabama for our family (him, me and our son)
I have been wanting to get gastric bypass and so now I am finally taking the steps on seeing a doctor and get this ball rolling. But I was just wondering with my husband just now getting the insurance September 2010 would this cause any problems of trying to have the surgery in 2011?
Topic: help plz :(
my surgery is on the 27 of September but he have not sent the paper to me insurance is this normal or not i call aetna and they told me that Dr.Duffy still has not sent my papers and I'm so worry that they will postpone my surgery
Topic: RE: WLS prevents you from getting health insurance ???
Yes, I called two Ins companies. One will call me back. The one that did answer said that it IS an exclusion and will prevent them from writing you.
However, if you already have a policy they cannot cancel you, so you can keep it.
However, if you already have a policy they cannot cancel you, so you can keep it.
Topic: RE: WLS prevents you from getting health insurance ???
Did you ever get an answer about whether you'd be excluded from individual health care insurance after gastric bypass?
Topic: Illinois Medicaid - anyone w/ experience?
I was told that they take ATLEAST 30 days to approve, but then heard that they work pretty fast... does anyone have any experience with Illinois medicaid? I know all states are different so thats why I'm asking about Illinois.
I'm 28, 5'7 and have a bougie size 36 french, not oversewn.
Capacity for dense protein: about 3 oz. Also...only lost 2 lbs pre-op.
Capacity for dense protein: about 3 oz. Also...only lost 2 lbs pre-op.
Topic: WLS prevents you from getting health insurance ???
My neice got a bypass many years ago, now says she cannot get a personal health insurance policy as it's an automatic exclusion.
She has to work somewhere she can get on a group plan. She cannot get an individual plan.
I am self employed, so I can't get a group plan. If this is true, I'll lose my health insurance.
Can anyone comment on this?
She has to work somewhere she can get on a group plan. She cannot get an individual plan.
I am self employed, so I can't get a group plan. If this is true, I'll lose my health insurance.
Can anyone comment on this?
mistyshadows
on 9/4/10 10:53 am
on 9/4/10 10:53 am
Topic: RE: My ins co won't disclose pre-reqs to me
Guess what! I decided to mess around on the insurance co's website. I clicked on the Provider tab, then clicked on Manual and Policies, Surgeries. Eureka!!! There it was in black and white. See if you might find something similar on your insurance co's website.
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My insurance will not pay for my excess skin that hang down to my knees
Hockeymom87 · 0 replies · 604 views
Hockeymom87 · 0 replies · 604 views
