Recent Posts

cherokee83pride
on 4/1/14 7:07 am, edited 4/1/14 7:10 am - Middlefield, OH
Topic: ObamaCare doesn't really care!

I have been without insurance for the better part of a decade, relying mostly on free health care provided by donations and volunteers. I worked for 7 years at a financial firm in Nashville Tennessee and in that time, they did not offer me health insurance one time because in part I was a full time temporary. And being overweight I couldnt afford the High Risk insurance in Tennessee because it was $600 a month for me for being overweight.

Once Obamacare was hinted at, I was like FINALLY I will have insurance. Well.... No such luck. I applied with the state of Ohio which I currently now live and have lived for 3 years. I dont have a job or a way to get to a job now. Being that my fiance uses the only car we have to get back and forth to work every day that is an hour to and from. I applied for Medicaid and The reply from the state was "Even though Miss. Smith, you do qualify for Ohio Medicaid, we are denying your application. When I contacted the office. They said come in and talk with us and we will see what we can do for you.

I get there and the aide that was helping me asked, very simple questions, 1. Are you pregnant (No I cant have kids) 2. Are you an unwed mother (Again no, I cant have kids) 3. Do you have a job making below poverty level wages (No, I have no way of getting to and from a job so I make no money and am under the poverty level) 4. Are you of African American or Latino descent (No Im Caucasian).

They said because I answered no to every question, that I was being denied because the government deemed me non sufficiently eligible. I even gave them past health records to show the need for the help. I have PCOS (Poly-Cystic Ovarian Syndrome) High Blood Pressure, Asthma, High Cholesterol, and had a mini Stroke. Which I require very expensive medications every month and I need help getting them.

The exact words next literally made my jaw hit the floor, they aide, pulled me to the side and said and I quote "If you were black or mexican you would have health care no problem"

I was floored by this comment.

I cant get medicaid, I cant afford Obamacare. Even the cheapest plan is out of my price range of $349 a month. and thats the basic plan that only covers Medicine, Office visits and thats pretty much it.

I give up, I will never be able to get weight loss surgery to save my life. I walk every day. I eat right and they weight wont come off. I need help and insurance. But, the government doesnt care about me. I dont even matter enough to be counted as in the poverty level and get assistance.

I'm going to die because I cant get help from the so called President that says he is helping everyone.

Sorry for the rant, Im tired of being tired and sick. And when I seek help, I just get a cold shoulder.

Kdiva
on 3/31/14 11:30 am - Margate, FL
Topic: RE: AvMed Approved Revision

Congratulations on getting approved & much success on your revision 

Member Services
on 3/31/14 2:07 am - Irvine, CA
Topic: The Early Bird Savings ends TODAY

The Early Bird Ticket discount ends today for our OH National Conference on August 15-16, 2014.  We hope to see you there with us! 

chicaletta
on 3/30/14 12:42 am
VSG on 04/24/14
Topic: AvMed Approved Revision

I was approved for Lapband in 2008 when I had BCBS PPO plan. Fast forward to 2014....in January I changed insurance to AvMed and due to not having success with the band I asked my doctor to submit a request for a band removal and revision surgery for the gastric sleeve. That was in February and honestly I didn't have any hopes of them approving it. In March I was advised that they approved both surgeries! The only thing I had to do was go to another nutritionist visit and of course get bloodwork. Surgery is scheduled for April 24th.

I also know someone who AvMed approved their band removal and revision to sleeve after they were a self pay for the band. I'm not a representative of AvMed nor have I had them long enough to make a decision on how I like them as a whole. I do know that I'm happy with the approval for revision. 

            
Thinknthin
on 3/29/14 1:00 pm
Topic: RE: Help about 6 month supervised diet

Best of luck to you on your wls journey

Thinknthin
on 3/29/14 12:59 pm
Topic: RE: Help about 6 month supervised diet

I brought in my ins requirements and listed them for the doctor. Made sure that I got the letter clearing and recommending me for wls. I went to a dietician once a month and we went over diet and excersize log,  but I could have just had the doctor put it down in the notes along with a copy of my diet (wrote everything down with dAiley calorie intake) and excersize candy made sure they also kept a copy in the records. My ins required 5 years of weight from a doc office, just gave the ins vitals one visit a year and it worked. 

Member Services
on 3/29/14 7:35 am - Irvine, CA
Topic: The time to save is only TWO DAYS

Do you know....

  •  ObesityHelp has hosted 67 conferences
  •  ObesityHelp held the first conference focused on bariatrics
  •  There are only TWO DAYs left to buy your Early Bird Tickets

We hope to see you at the OH National Conference 2014! 

ShipesNCprincess
on 3/28/14 2:02 am
Topic: Coventry Carelink Tier 1

I am currently in the process of trying to get information from my insurance company and this is not an easy task, dealing with them. I have Coventry One, Carelink Tier 1. The problem I am having is finding an approved provider. I go on their website and there are Bariatric Surgeons listed, but when I call they tell me the only one approved is a state away;. I just don't get it. Bariatric surgery isn't possible for me at all if this is true, as it is a 4 hour drive for me. Has anyone had any experiences with Coventry One, specifically the Carelink Tier 1? I'm thankful for coverage, but it won't help me if I have to travel that far. 

NatalieNTexas
on 3/25/14 8:57 pm - houston, TX
Topic: Plastics Insurance experience?

Hello!  I am curious if anyone has any experience getting approved for body contouring through insurance. I paid cash for my surgery back in 2007 and the amount of excess skin I have is ridiculous and uncomfortable to say the least.  Granted..I do not have boils bursting out of every fold ..I do have issues that i am now realizing that maybe I should start documenting.  If anyone is willing to share can you tell me what your insurance providers requirements were, what type of insurance, your pre op BMI and anything else you think that might be helpful. My case is going to be weird because I paid cash originally in the first place. Any advice would be greatly appreciated. 

 

Thanks!

Member Services
on 3/25/14 6:57 am - Irvine, CA
Topic: The Early Bird Catches the ...

The Early Bird catches the savings!  There are only six more days until the Early Bird Ticket discount flies away on March 31st. 

Our Conferences have something for everyone regardless where you are on your bariatric journey.  Check out what members say about their experience at the OH Conferences. 

We hope you'll join us for the fun, friendships - old and new, education, exchange of information and motivation. 

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